NCT00725569

Brief Summary

The planned study will be conducted in a prospective, randomized, double blind placebo controlled manner. Two "anti-traumatic" Homeopathic remedies (Arnica montana and Staphysagria) will be used. The selection of these remedies was based on a previous trial that showed a statistical difference in Hemoglobin levels favoring pregnant women treated with these drugs following delivery. The proposed study will focus on the post-operative recovery of women undergoing Cesarean section. According to Homeopathic principles, these two remedies are believed to improve the "vital force", and will therefore improve convalescence following surgery in the study group. The study will include 90 women between the ages of 18 and 50 years who are scheduled for elective Cesarean Section. Exclusion criteria are: obesity (above 100kg), malignancy, psychiatric illness, diabetes and multipara pregnancies. Participants will be inducted following a detailed explanation by an MD and signing of an informed consent form, and then subdivided randomly into three groups numbering 30 in each: Two groups will be treated with homeopathic drugs of varied doses, and the third will get a placebo remedy which is indistinguishable from the other drugs. Outcome measures will include: 1. Blood loss - as estimated by a reduction in serum Hemoglobin levels. 2. Pain -to be evaluated by a numerical rating score (NRS) 3. Analgesic use 4. Length of post-operative stay and complications. 5. Quality of life outcomes - to be assessed using the MOS SF-36 questionnaire at one and four weeks following surgery. Although not expected, adverse events will be monitored. If, as we anticipate, the homeopathic treatment proves to be both safe and effective in shortening the duration of post-operative healing, this will have significant implications, with respect to both healthcare costs and patient suffering. It will also open the door for further research in the field of trauma medicine, as well as other stress-related illness.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
90

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Aug 2008

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 29, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 30, 2008

Completed
2 days until next milestone

Study Start

First participant enrolled

August 1, 2008

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2009

Completed
Last Updated

October 20, 2009

Status Verified

October 1, 2008

Enrollment Period

8 months

First QC Date

July 29, 2008

Last Update Submit

October 18, 2009

Conditions

Keywords

Caesarian SectionHomeopathyPainAnalgesia

Outcome Measures

Primary Outcomes (1)

  • pain, to be evaluated using a numerical rating score (NRS) on a 100mm scale (0= no pain whatsoever, 100 = unbearable pain).

    4 weeks

Secondary Outcomes (7)

  • Analgesic Use

    4 weeks

  • Duration of Hospital Stay

    4 weeks

  • Time from Surgery to First Bowel Movement

    4 days

  • Blood Loss

    4 days

  • Post-operative Complications the following complications will be noted: Nausea, vomiting, abdominal distension, fever, urinary tract infection, thrombophlebitis, wound infection, wound hematoma, ileus, vaginal bleeding.

    4 weeks

  • +2 more secondary outcomes

Study Arms (3)

A

ACTIVE COMPARATOR

Bellis perennis and Staphysagria (C6)

Drug: Bellis perennis and Staphysagria (C6)

B

ACTIVE COMPARATOR

Bellis perennis and Staphysagria (C30)

Drug: Bellis perennis and Staphysagria (C30)

C

PLACEBO COMPARATOR

Placebo Remedy

Drug: Placebo

Interventions

Placebo remedy, identical in size, shape and taste to treatment remedies

C

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • women hospitalized for elective C. Section, from the 1st to 3rd pregnancies.
  • Age \< 50 years
  • Body weight \< 100 kg
  • Signing of informed consent form

You may not qualify if:

  • suspected/proven malignancy
  • underlying Axis-1 psychiatric illness
  • age \< 18 years
  • diabetes mellitus (NIDDM/IDDM)
  • unable to comply with study proceedings

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shaare Zedek Medical Center

Jerusalem, 91031, Israel

Location

Related Publications (1)

  • Zimpel SA, Torloni MR, Porfirio GJ, Flumignan RL, da Silva EM. Complementary and alternative therapies for post-caesarean pain. Cochrane Database Syst Rev. 2020 Sep 1;9(9):CD011216. doi: 10.1002/14651858.CD011216.pub2.

MeSH Terms

Conditions

PainAgnosia

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsPerceptual DisordersNeurobehavioral ManifestationsNervous System Diseases

Study Officials

  • Menachem Oberbaum, M.D.

    Shaare Zedek Medical Center, Jerusalem, Israel

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

July 29, 2008

First Posted

July 30, 2008

Study Start

August 1, 2008

Primary Completion

April 1, 2009

Study Completion

April 1, 2009

Last Updated

October 20, 2009

Record last verified: 2008-10

Locations