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Depodur vs Fentanyl Infusion for Post-C/S Analgesia

Primary Purpose

Analgesia

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Depodur
Depodur
Fentanyl
Sponsored by
Goodman, Evan, M.D.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Analgesia focused on measuring analgesia, cesarean section, fentanyl, Depodur, Post-cesarean section analgesia

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy pregnant women (ASA I or II) who are scheduled for an elective cesarean section
  • Patient appropriate for regional anesthesia
  • Patient agrees to receive regional anesthesia
  • Patient willing to have an epidural infusion of medication for two days postoperatively

Exclusion Criteria:

  • Morbid obesity
  • History of sleep apnea
  • Allergy to opioids medications
  • History of opioids use during week prior to procedure
  • Emergency cesarean section
  • Significant surgical complications
  • Contraindication or refusal to have regional anesthesia
  • Age less than 18

Sites / Locations

  • University Hospitals Case Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

1

2

Arm Description

Epidural Depodur after spinal bupivacaine

Epidural fentanyl infusion after epidural lidocaine or spinal bupivacaine

Outcomes

Primary Outcome Measures

Degree of analgesia (measured on a 10-point scale)

Secondary Outcome Measures

Frequency of minor side effects, such as pruritis or nausea.

Full Information

First Posted
September 29, 2008
Last Updated
March 14, 2022
Sponsor
Goodman, Evan, M.D.
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1. Study Identification

Unique Protocol Identification Number
NCT00762554
Brief Title
Depodur vs Fentanyl Infusion for Post-C/S Analgesia
Official Title
A Comparison of Single Dose Depodur With Fentanyl Infusion for Post-Cesarean Section Analgesia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Uncertain safety of one of the study medications.
Study Start Date
October 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Goodman, Evan, M.D.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Epidurally administered Depodur provides equal or superior analgesia as an epidural infusion of fentanyl for the first 48 hours after a cesarean section.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Analgesia
Keywords
analgesia, cesarean section, fentanyl, Depodur, Post-cesarean section analgesia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Epidural Depodur after spinal bupivacaine
Arm Title
2
Arm Type
Active Comparator
Arm Description
Epidural fentanyl infusion after epidural lidocaine or spinal bupivacaine
Intervention Type
Drug
Intervention Name(s)
Depodur
Intervention Description
Depodur 10mg given epidurally at end of cesarean section.
Intervention Type
Drug
Intervention Name(s)
Depodur
Intervention Description
Depodur 10mg given epidurally at end of cesarean section after patient received spinal bupivacaine at the beginning of the case.
Intervention Type
Drug
Intervention Name(s)
Fentanyl
Intervention Description
Epidural fentanyl infusion started after spinal bupivacaine used for the cesarean section.
Primary Outcome Measure Information:
Title
Degree of analgesia (measured on a 10-point scale)
Time Frame
48 hours post-operatively
Secondary Outcome Measure Information:
Title
Frequency of minor side effects, such as pruritis or nausea.
Time Frame
48 hours postoperatively

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy pregnant women (ASA I or II) who are scheduled for an elective cesarean section Patient appropriate for regional anesthesia Patient agrees to receive regional anesthesia Patient willing to have an epidural infusion of medication for two days postoperatively Exclusion Criteria: Morbid obesity History of sleep apnea Allergy to opioids medications History of opioids use during week prior to procedure Emergency cesarean section Significant surgical complications Contraindication or refusal to have regional anesthesia Age less than 18
Facility Information:
Facility Name
University Hospitals Case Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
15781537
Citation
Carvalho B, Riley E, Cohen SE, Gambling D, Palmer C, Huffnagle HJ, Polley L, Muir H, Segal S, Lihou C, Manvelian G; DepoDur Study Group. Single-dose, sustained-release epidural morphine in the management of postoperative pain after elective cesarean delivery: results of a multicenter randomized controlled study. Anesth Analg. 2005 Apr;100(4):1150-1158. doi: 10.1213/01.ANE.0000149544.58230.FF.
Results Reference
background
PubMed Identifier
17578973
Citation
Carvalho B, Roland LM, Chu LF, Campitelli VA 3rd, Riley ET. Single-dose, extended-release epidural morphine (DepoDur) compared to conventional epidural morphine for post-cesarean pain. Anesth Analg. 2007 Jul;105(1):176-83. doi: 10.1213/01.ane.0000265533.13477.26.
Results Reference
background

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Depodur vs Fentanyl Infusion for Post-C/S Analgesia

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