Pharmacokinetics of Oral Morphine and Pharmacogenomics of CYP2D6 and UGT2B7, in an Urban Pediatric Population Presenting for Elective Surgery
1 other identifier
interventional
43
1 country
1
Brief Summary
The purpose of this study is to identify and collect samples from children who have taken a single oral dose of the pain medication morphine, and to determine the genetic differences in the way children metabolize (break down in the body and how it affects them) morphine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 pain
Started Mar 2010
Typical duration for phase_2 pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 17, 2010
CompletedFirst Posted
Study publicly available on registry
February 19, 2010
CompletedStudy Start
First participant enrolled
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedJuly 5, 2017
May 1, 2017
2.7 years
February 17, 2010
June 30, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
1 mL blood sample will be obtained at 30, 60, 90, 120, 180 and 240 min after morphine administration.
4 hours
Secondary Outcomes (1)
Face, Legs, Activity, Cry and Consolability (FLACC) pain score
4 hours
Study Arms (3)
1
ACTIVE COMPARATORSubjects recruited will be block assigned to one of the three doses of morphine. Sampling will be done for 4 hrs to determine the key pharmacokinetic parameters.
2
ACTIVE COMPARATORSubjects recruited will be block assigned to one of the three doses of morphine. Sampling will be done for 4 hrs to determine the key pharmacokinetic parameters.
3
ACTIVE COMPARATORSubjects recruited will be block assigned to one of the three doses of morphine. Sampling will be done for 4 hrs to determine the key pharmacokinetic parameters.
Interventions
Eligibility Criteria
You may qualify if:
- years of age
- ASA 1 \& 2 elective surgical patients - Procedures requiring opioid analgesia - Minimal hospital stay of 4 hrs
- Informed consent
You may not qualify if:
- Allergy or adverse reaction to morphine
- Contraindication to morphine analgesia, such as a potential difficult airway -- Abnormal hepatic or renal function known by history or available laboratory results
- Current regular opioid use
- Surgical or anesthetic contraindication to oral premedication such as gastro-esophageal reflux disease
- Children with a BMI of \<10'ile or \>90'ile
- Declines study participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
British Columbia Children's Hospital-Dept of Anesthesia
Vancouver, British Columbia, V6H 3V4, Canada
Related Publications (1)
Velez de Mendizabal N, Jimenez-Mendez R, Cooke E, Montgomery CJ, Dawes J, Rieder MJ, Aleksa K, Koren G, Jacobo-Cabral CO, Gonzalez-Ramirez R, Castaneda-Hernandez G, Carleton BC. A Compartmental Analysis for Morphine and Its Metabolites in Young Children After a Single Oral Dose. Clin Pharmacokinet. 2015 Oct;54(10):1083-90. doi: 10.1007/s40262-015-0256-4.
PMID: 25773480DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Carolyne Montgomery, Dr.
University of British Columbia
- STUDY DIRECTOR
Gillian Lauder, Dr.
University of British Columbia
- STUDY DIRECTOR
Katherine Brand, Dr.
University of British Columbia
- STUDY DIRECTOR
Bruce Carleton, Dr.
University of British Columbia
- STUDY DIRECTOR
Gideon Koren, Dr.
University of British Columbia
- STUDY DIRECTOR
Michael Rider, Dr.
University of British Columbia
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principle Investigator
Study Record Dates
First Submitted
February 17, 2010
First Posted
February 19, 2010
Study Start
March 1, 2010
Primary Completion
November 1, 2012
Study Completion
November 1, 2012
Last Updated
July 5, 2017
Record last verified: 2017-05