UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028193
Receipt number R000032221
Scientific Title The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation
Date of disclosure of the study information 2017/07/12
Last modified on 2017/07/12 00:00:03

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Basic information

Public title

The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation

Acronym

The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation

Scientific Title

The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation

Scientific Title:Acronym

The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation

Region

Japan


Condition

Condition

We intend for ASA PS 1-2 from 20-80years old having anoperation of limbs among orthopedics patients

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Before surgery, oral tablet morphine sulphate 60mg preparation (surveyed group) or diazepam 5-7mg (comparative control group) is taken orally, and the difference between postoperative pain and sedation between the two groups and side effects are compared.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Postoperative pain and side effects for oral tablet morphine sulfate are mainly determined around 4-6,18-24 hours after oral.
For postoperative pain relief, use of analgesic drugs as a main index.And we also visited patients up to 3 days postoperatively, including confirmation of side effects.

Key secondary outcomes

Key secondary outcomes for postoperativepain,and sedation :Postoperativepain are determined VAS scale, and diverted part of face scale. For sedation, use the Ramsay sedation score (RSS). In addition, measure the blood concentration at the perioperative period from some patients, and use it as a reference index of the drug effect.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Study group: 60 mg of sustained-release morphine sulfate administered orally at 90 to 120 minutes before introduction of general anesthesia. Then I went to the operating room.

General anesthesia is 1% propofol (1 mg / kg) with introduction drug, sevoflurane, nitrous oxide, oxygen (oxygen concentration in the circuit 50%) for maintenance. The concentration of sevoflurane in the intraoperative carburetor will be set appropriately according to the situation of anesthesia and surgery. After that, we perform fundamental perioperative management and at the same time conduct surveys to be described later.
investigation:
Analgesia: Study using visual analog scale (VAS) score face scale (part diverted) immediately after returning home (4-6 hours after oral administration) and blood collection after returning (12-18 hours after oral administration) .In addition, 50 mg intravenous flurbiprofen (Flurbiprofen) as an analgesic, intramuscular injection of 30 mg pentazocine + 50 mg hydroxyzine (Hydroxyzine), 50 mg dose of diclofenac sodium (Diclofenac) according to the degree of analgesia. The use standard was VAS 50 mm or more. Also investigate the use of analgesics.
Sedation: Investigate using Ramsay sedation score (RSS) after oral administration, 2 hours, 4-6 hours, 12-18 hours.
and Investigation of circulatory dynamics during operation: (blood pressure, heart rate) etc.
And Morphine blood concentration is collected (at least twice) in 2, 4-6 and 12-18 hours after premedication.
The intervention period was up to 24 hours after drug oral.
In addition, when side effects appear, appropriate drug administration and treatment corresponding to symptoms should be carried out.

Interventions/Control_2

Comparative control group: 5-7 mg of diazepam orally administered 90 to 120 minutes before introduction of general anesthesia. Then I went to the operating room.
In the control group. No blood was drawn. Other general anesthesia management, postoperative analgesia, evaluation of sedation, and analgesic treatment were performed in the same manner as in the survey group.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with good overall condition of 1-2 at ASA ps and cooperative patients for this survey were targeted.
Also, in the survey group, those who got an understanding of this research before the surgery and gave the consent form were targeted.

Key exclusion criteria

We excluded those less than ASA physical status and non-cooperative in research.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Makoto Ozaki

Organization

Tokyo women's medical university medical hospital

Division name

Anestheology

Zip code


Address

8-1 Kawadamachi, Shinjuku-ku, Tokyo

TEL

03-3353-8111

Email

doku_kumo@yahoo.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takaaki Chino

Organization

Tokyo Women's medical University Medical Hospital

Division name

Anestheology

Zip code


Address

8-1 Kawadamachi, Shinjuku-ku, Tokyo

TEL

03-3353-8111

Homepage URL


Email

ikyoku@anes.twmu.ac.jp


Sponsor or person

Institute

Tokyo women's medical university medical hospital

Institute

Department

Personal name



Funding Source

Organization

Tokyo women's medical university medical hospital

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

谷津保健病院(千葉県)、総合守谷第一病院(茨城県)


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 12 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

Completed

Date of protocol fixation

2006 Year 08 Month 22 Day

Date of IRB


Anticipated trial start date

2006 Year 11 Month 24 Day

Last follow-up date

2013 Year 06 Month 03 Day

Date of closure to data entry

2017 Year 06 Month 25 Day

Date trial data considered complete

2017 Year 07 Month 05 Day

Date analysis concluded

2017 Year 07 Month 10 Day


Other

Other related information



Management information

Registered date

2017 Year 07 Month 12 Day

Last modified on

2017 Year 07 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032221


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name