UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014624
Receipt number R000015955
Scientific Title Effects of postoperative administration of celecoxib on postoperative pain management in patients after total knee arthroplasty. A randomized controlled study.
Date of disclosure of the study information 2014/07/23
Last modified on 2019/01/27 18:02:23

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Basic information

Public title

Effects of postoperative administration of celecoxib on postoperative pain management in patients after total knee arthroplasty. A randomized controlled study.

Acronym

EPOCA

Scientific Title

Effects of postoperative administration of celecoxib on postoperative pain management in patients after total knee arthroplasty. A randomized controlled study.

Scientific Title:Acronym

EPOCA

Region

Japan


Condition

Condition

Osteoarthritis, Rheumatoid arthritis

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of postoperative administration of celecoxib on postoperative pain after TKA surgery, compared with no administration of celecoxib with femoral and sciatic nerve blocks and PCA fentanyl.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

VAS pain score on the second day after TKA

Key secondary outcomes

1. Fentanyl consumption through PCA
2. VAS pain score through the following day to the seventh day after surgery
3. Range of motion of the knee joint
4. Evaluation of sleep quality using VAS sleep disturbance
5. Evaluation of sleep quality including sleep latency, sleep efficacy, nocturnal awakening, sleep depth, body motion and the time it takes to deep sleep monitored by SLEEPSCAN.
6. The overall patient satisfaction during the period of medication.
7. The overall evaluation by physician during the period of medication.
8. Incidence rate of postoperative nausea and vomiting, and frequency of taking anti-nausea pills
9. Rescue analgesic consumption (a diclofenac sodium suppository) after the removal of PCA fentanyl.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of celecoxib from 2 hours after TKA surgery

Interventions/Control_2

Administration of celecoxib from 2 days after TKA surgery

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patient can understand and comply with the protocol and has signed the informed consent document at screening.
2) Patient is over 20 years old at the time of informed consent.
3) Patient undergoing unilateral total knee arthroplasty
4) Patient undergoing TKA surgery in the morning
5) Patient assessed by principal and/or co-investigator for eligibility as pain control with multimodal analgesia including femoral and sciatic nerve blocks and PCA fentanyl after TKA surgery.

Key exclusion criteria

1) Patient who has a history or complication of hypersensitivity to celecoxib, fentanyl or sulfonamides, and patient who has a history or complication of a serious allergic reaction to any other drugs.
2) Patient who has a history or complication with aspirin-induced asthma.
3) Patient who has a complication of gastrointestinal hemorrhage or ulcer.
4) Patient who has severe hepatic dysfunction.
5) Patient who has severe renal dysfunction.
6) Patient who has severe cardiovascular dysfunction.
7) Patient who is in a perioperative period of coronary artery bypass surgery.
8) Patient who is pregnant, lactating or probably pregnant.
9) Patient who had a drug abuse.
10) Patient who takes or will take an analgetic drug or sleeping drug with the exception of the following drugs from two days before surgery to final evaluation.
Ultrashort- acting Hypnotic including triazolam, zopiclone and zolpidem tartrate is permitted until surgery.
11) Patient who is judged not to carry the trial through by principal or co-investigator.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takeo Mammoto

Organization

Mito medical center, Mito Kyodo General Hospital, University of Tsukuba

Division name

Department of Orthopaedic Surgery and Sports Medicine

Zip code


Address

3-2-7 Miya-Machi, Mito Ibarakii, Japan

TEL

029-231-2371

Email

mammototakeo@mitokyodo-hp.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takeo Mammoto

Organization

Mito medical center, Mito Kyodo General Hospital, University of Tsukuba

Division name

Department of Orthopaedic Surgery and Sports Medicine

Zip code


Address

3-2-7 Miya-Machi, Mito Ibarakii, Japan

TEL

029-231-2371

Homepage URL


Email

mammototakeo@mitokyodo-hp.jp


Sponsor or person

Institute

Mito medical center, Mito Kyodo General Hospital, University of Tsukuba

Institute

Department

Personal name



Funding Source

Organization

Pfizer Japan Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 07 Month 23 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2014 Year 03 Month 11 Day

Date of IRB


Anticipated trial start date

2014 Year 09 Month 01 Day

Last follow-up date

2016 Year 12 Month 31 Day

Date of closure to data entry

2017 Year 04 Month 20 Day

Date trial data considered complete

2017 Year 04 Month 21 Day

Date analysis concluded

2017 Year 06 Month 23 Day


Other

Other related information



Management information

Registered date

2014 Year 07 Month 23 Day

Last modified on

2019 Year 01 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015955


Research Plan
Registered date File name
2016/07/25 EPOCA protocol paper.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name