A Comparison of the Safety and Effectiveness of Two Forms of Patient-controlled Pain Medication Used After Total Hip Replacement: The E-TRANS Fentanyl Transdermal System Versus the Morphine Intravenous Pump
Comparison of the Safety and Efficacy of Patient Controlled Analgesia Delivered by the E-TRANS Fentanyl HCl Transdermal System Versus Morphine IV Pump for Pain Management After Primary Unilateral Total Hip Replacement
This date has not been verified as actual or estimated.
Primary Completion
Not reported
Date not reported
Study Completion
April 2005
Actual (reported)
Brief Summary
The purpose of this study is to compare two pain medications delivered by two different forms of patient-controlled analgesia (PCA) management systems: the Fentanyl HCl Patient-Controlled Transdermal System (E-TRANS fentanyl) and the morphine intravenous pump. Fentanyl HCl and morphine are narcotic pain relievers. The E-TRANS fentanyl system is a small unit worn on the patient's upper outer arm or chest that uses low-intensity electrical current to deliver fentanyl through the skin and into the patient's bloodstream. The patients studied will be those who have just received a total hip replacement.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
799 participants
Study completion date
April 2005
Actual (reported)
Listed locations
0 countries · 0 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
March 2004
Date type not reported
This date has not been verified as actual or estimated.
Success (defined by a rating of "Excellent", or "Good") on the 24-hour patient global assessment of the method of pain control.
Secondary Outcomes (1)
Proportion of successes at 48 and 72 hours and at final assessment; mean pain intensity assessment at 24, 48, and 72 hours and at final assessment; mean scores from the Ramsay Sedation Scale.
Interventions
E-TRANS Fentanyl hydrochloride; MorphineDrug
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
E-TRANS Fentanyl hydrochloride; Morphine
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Patients with a pre-operative American Society of Anesthesiology Physical Status I, II, or III (Class I are healthy persons less than 80 years of age, Class II are patients over age 80 years of age with mild systemic disease, and Class III are patients with severe and non-incapacitating disease)
Admitted to the Post-Anesthesia Care Unit after general or spinal anesthesia (using bupivacaine)
Postoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and SymptomsPainNeurologic ManifestationsSigns and SymptomsPerceptual DisordersNeurobehavioral ManifestationsNervous System Diseases
Intervention Hierarchy (Ancestors)
Morphine Derivatives
Study Officials
Alza Corporation Clinical Trial
Alza Corporation, DE, USA
STUDY DIRECTOR
Enrollment
799 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Study Record Dates
First Submitted
December 9, 2005
First Posted
December 13, 2005
Study Start
March 2004
Date type not reported
This date has not been verified as actual or estimated.
Surgical time of up to 4 hours for total hip replacement surgery with a single surgical incision
Awake and breathing spontaneously, with a respiratory rate of 8 to 24 breaths per minute and oxygen saturation of 90% or higher (with or without supplemental oxygen)
Expected to remain hospitalized for at least 24 hours postoperatively
You may not qualify if:
Patients whose post-operative pain would normally be managed with oral or non-narcotic pain medication
Who received intraoperative spinal anesthesia other than bupivacaine (without epinephrine), intraoperative epidural anesthesia, or who are expected to have postoperative analgesia supplied by a continuous regional technique
Have a history of allergy, hypersensitivity, or tolerance to fentanyl or morphine, or a history of allergy or hypersensitivity to cetylpyridinium chloride or skin adhesives, or have the presence of active skin disease that would interfere with application of the E-TRANS fentanyl system
Who received systemic or intra-articular steroids within 1 month before surgery or during surgery
Expected to require intensive care postoperatively or who will probably need additional surgical procedures within 72 hours
Contact the study team to confirm eligibility.
Morphinans
Opiate Alkaloids
Alkaloids
Heterocyclic Compounds
Heterocyclic Compounds, Bridged-Ring
Heterocyclic Compounds, 4 or More Rings
Heterocyclic Compounds, Fused-Ring
Phenanthrenes
Polycyclic Aromatic Hydrocarbons
Polycyclic Compounds
Study Completion
April 2005
Actual (reported)
Last Updated
May 19, 2011
Record last verified: 2010-04
Source record
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Source: ClinicalTrials.gov.
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