UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017055
Receipt number R000019777
Scientific Title The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration
Date of disclosure of the study information 2015/04/06
Last modified on 2015/04/06 14:39:25

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Basic information

Public title

The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration

Acronym

The effectiveness of epidural droperidol for prophylaxis of postoperative nausea and vomiting: a comparative study of droperidol and adrenaline

Scientific Title

The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration

Scientific Title:Acronym

The effectiveness of epidural droperidol for prophylaxis of postoperative nausea and vomiting: a comparative study of droperidol and adrenaline

Region

Japan


Condition

Condition

patients scheduled for abdominal gynecological surgery under general-epidural anesthesia

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Intravenous droperidol has strong evidence for antiemetic efficacy of doroperidol in high risk patients for prevention of postoperative nausea and vomiting (PONV). However it is not clear whether continuous epidural administration of doroperidol prevent PONV. It has been reported that epidural epinephrine decrease PONV, therefore we prospectively compared the effectiveness of epidural droperidol or epinephrine for prophylaxis of PONV.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

the incidences of PONV, the use frequency of the antiemetics

Key secondary outcomes

the incidences of cancelling continuous epidural administration for vomiting, the use frequency of the adjuvant analgesic, the incidences of pruritus, the incidences of reduction in blood pressure


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

epidural administration of 0.2% ropivacaine 200ml, fentanyl 14ml and droperidol 2ml, 4ml/hr of administration rate, and 3ml of bolus injection, during about 50 hours.

Interventions/Control_2

epidural administration of 0.2% ropivacaine 200ml, fentanyl 14ml and epinephrine 0.5ml, 4ml/hr of administration rate, and 3ml of bolus injection, during about 50 hours.

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

18 years-old <=

Age-upper limit

30 years-old >

Gender

Female

Key inclusion criteria

patients scheduled for abdominal gynecological surgery under general-epidural anesthesia

Key exclusion criteria

age<18, >=80, ASA-PS<=3, BMI<=35, QT prolongation, Parkinson's disease, psychiatric history, drug abuser, steroid administration

Target sample size

84


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinya Toyonaga

Organization

Saiseikai Narashino Hospital

Division name

Department of Aneasthesia

Zip code


Address

1-1-1, izumicho, narashino-ku, Chiba

TEL

047-473-1281

Email

redhunter-2005-@hotmail.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shinya Toyonaga

Organization

Saiseikai Narashino Hospital

Division name

Department of Aneasthesia

Zip code


Address

1-1-1, izumicho, narashino-ku, Chiba

TEL

047-473-1281

Homepage URL


Email

redhunter-2005-@hotmail.co.jp


Sponsor or person

Institute

Saiseikai Narashino Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

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

済生会習志野病院(千葉県)


Other administrative information

Date of disclosure of the study information

2015 Year 04 Month 06 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

The incidences rate of PONV were 27.9% (doropeidol group) and 58.1% (epinephrine group), respectively (P=0.0046, odds ratio 0.279, NNT 3.13). The use frequency of the antiemetics were 18.6% and 41.9%, respectively (P=0.0189, odds ratio 0.317, NNT 4.29). There was one patient who had to cancel continuous epidural administration for vomiting in epinephrine group, but no patient in doropeidol group.

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

Completed

Date of protocol fixation

2013 Year 11 Month 01 Day

Date of IRB


Anticipated trial start date

2013 Year 11 Month 30 Day

Last follow-up date

2014 Year 07 Month 02 Day

Date of closure to data entry

2014 Year 09 Month 30 Day

Date trial data considered complete

2014 Year 10 Month 31 Day

Date analysis concluded

2014 Year 11 Month 30 Day


Other

Other related information



Management information

Registered date

2015 Year 04 Month 06 Day

Last modified on

2015 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019777


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name