Multicenter Perioperative Opioid Pharmacogenetic Study
Predicting Perioperative Opioid Adverse Effects and Personalizing Analgesia in Children: A Multicenter Pharmacogenetic Study
1 other identifier
observational
1,000
1 country
15
Brief Summary
The purpose of this research study is to identify factors and genes (the DNA material that determines the makeup of the human body) that may be associated with how children respond to pain medication. Specifically, the investigators want to study factors that may be associated with pain sensitivity, morphine requirement after surgery and side-effects from morphine and other pain medications. The investigators expect that the information obtained in this research study will help us to develop more effective, safe, and tailored treatment options in the future.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2010
Longer than P75 for all trials
15 active sites
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
Study Start
First participant enrolled
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
December 12, 2011
CompletedFirst Posted
Study publicly available on registry
December 20, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2017
CompletedJanuary 31, 2017
January 1, 2017
5.2 years
December 12, 2011
January 30, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety Outcomes
Incidence of serious opioid related adverse effects including respiratory depression, excessive sedation, nausea and vomiting in recovery room.
Post-anesthetic recovery room, an expected average of 2 hours
Secondary Outcomes (3)
Efficacy Outcome Measures - Opioid interventions
Post-anesthetic recovery room, an expected average of 2 hours
Efficacy Outcome Measures - Opioid requirement
Post-anesthetic recovery room, an expected average of 2 hours
Efficacy Outcome Measures - Pain Scores
Post-anesthetic recovery room, an expected average of 2 hours
Eligibility Criteria
Children undergoing adenotonsillectomy in the United States.
You may qualify if:
- children 6-17 years of age
- ASA physical status 1 and 2
- scheduled for tonsillectomy (T) and tonsillectomy and adenoidectomy (T and A)
- Children with obstructive sleep apnea will also be included.
You may not qualify if:
- children with developmental delay
- liver and renal diseases,
- preoperative pain requiring analgesics (e.g. chronic tonsillitis).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Children's Hospital Medical Center, Cincinnatilead
- Baylor College of Medicinecollaborator
- Ochsner Health Systemcollaborator
- Children's Hospital Coloradocollaborator
- Children's Hospital Los Angelescollaborator
- C.S. Mott Children's Hospitalcollaborator
- St. Christopher's Hospital for Childrencollaborator
- St. Louis Children's Hospitalcollaborator
- Boston Children's Hospitalcollaborator
- Seattle Children's Hospitalcollaborator
- Ann & Robert H Lurie Children's Hospital of Chicagocollaborator
- University of Wisconsin, Madisoncollaborator
- University of Miamicollaborator
- Johns Hopkins Universitycollaborator
- Stanford Universitycollaborator
- Phoenix Children's Hospitalcollaborator
- University of Michigancollaborator
- University of Utahcollaborator
- Shanghai Children's Hospitalcollaborator
Study Sites (15)
Children's Hospital of Los Angeles
Los Angeles, California, 90027, United States
Stanford University Medical Center
Palo Alto, California, 94304, United States
The Children's Hospital, Denver
Denver, Colorado, 80045, United States
University of Miami - Miller School of Medicine
Miami, Florida, 33136, United States
Children's Memorial Hospital
Chicago, Illinois, 60614, United States
Ochsner Medical Center for Children
New Orleans, Louisiana, 70121, United States
The Johns Hopkins Hospital
Baltimore, Maryland, 21287, United States
Boston Children's Hospital
Boston, Massachusetts, 02115, United States
C.S. Mott Children's Hospital
Ann Arbor, Michigan, 48109, United States
St. Louis Children's Hospital
St Louis, Missouri, 63110, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
St. Christopher's Hospital for Children
Philadelphia, Pennsylvania, 19134, United States
Texas Children's Hospital
Houston, Texas, 77094, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
UW Health-American Family Children's Hospital
Madison, Wisconsin, 53792, United States
Related Publications (41)
Diatchenko L, Slade GD, Nackley AG, Bhalang K, Sigurdsson A, Belfer I, Goldman D, Xu K, Shabalina SA, Shagin D, Max MB, Makarov SS, Maixner W. Genetic basis for individual variations in pain perception and the development of a chronic pain condition. Hum Mol Genet. 2005 Jan 1;14(1):135-43. doi: 10.1093/hmg/ddi013. Epub 2004 Nov 10.
PMID: 15537663BACKGROUNDChou WY, Wang CH, Liu PH, Liu CC, Tseng CC, Jawan B. Human opioid receptor A118G polymorphism affects intravenous patient-controlled analgesia morphine consumption after total abdominal hysterectomy. Anesthesiology. 2006 Aug;105(2):334-7. doi: 10.1097/00000542-200608000-00016.
PMID: 16871067BACKGROUNDOertel BG, Schmidt R, Schneider A, Geisslinger G, Lotsch J. The mu-opioid receptor gene polymorphism 118A>G depletes alfentanil-induced analgesia and protects against respiratory depression in homozygous carriers. Pharmacogenet Genomics. 2006 Sep;16(9):625-36. doi: 10.1097/01.fpc.0000220566.90466.a2.
PMID: 16906017BACKGROUNDSutters KA, Miaskowski C. Inadequate pain management and associated morbidity in children at home after tonsillectomy. J Pediatr Nurs. 1997 Jun;12(3):178-85. doi: 10.1016/S0882-5963(97)80075-9.
PMID: 9198341BACKGROUNDSutters KA, Miaskowski C, Holdridge-Zeuner D, Waite S, Paul SM, Savedra MC, Lanier B. A randomized clinical trial of the effectiveness of a scheduled oral analgesic dosing regimen for the management of postoperative pain in children following tonsillectomy. Pain. 2004 Jul;110(1-2):49-55. doi: 10.1016/j.pain.2004.03.008.
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PMID: 12036308BACKGROUNDHomer JJ, Frewer JD, Swallow J, Semple P. An audit of post-operative analgesia in children following tonsillectomy. J Laryngol Otol. 2002 May;116(5):367-70. doi: 10.1258/0022215021910807.
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PMID: 11244527BACKGROUNDHuth MM, Broome ME. A snapshot of children's postoperative tonsillectomy outcomes at home. J Spec Pediatr Nurs. 2007 Jul;12(3):186-95. doi: 10.1111/j.1744-6155.2007.00111.x.
PMID: 17594298BACKGROUNDHuth MM, Broome ME, Good M. Imagery reduces children's post-operative pain. Pain. 2004 Jul;110(1-2):439-48. doi: 10.1016/j.pain.2004.04.028.
PMID: 15275797BACKGROUNDGedaly-Duff V, Ziebarth D. Mothers' management of adenoid-tonsillectomy pain in 4- to 8-year-olds: a preliminary study. Pain. 1994 Jun;57(3):293-299. doi: 10.1016/0304-3959(94)90004-3.
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PMID: 16735812BACKGROUNDKlepstad P, Dale O, Skorpen F, Borchgrevink PC, Kaasa S. Genetic variability and clinical efficacy of morphine. Acta Anaesthesiol Scand. 2005 Aug;49(7):902-8. doi: 10.1111/j.1399-6576.2005.00772.x.
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PMID: 12362012BACKGROUNDRakvag TT, Klepstad P, Baar C, Kvam TM, Dale O, Kaasa S, Krokan HE, Skorpen F. The Val158Met polymorphism of the human catechol-O-methyltransferase (COMT) gene may influence morphine requirements in cancer pain patients. Pain. 2005 Jul;116(1-2):73-8. doi: 10.1016/j.pain.2005.03.032.
PMID: 15927391BACKGROUNDNackley AG, Tan KS, Fecho K, Flood P, Diatchenko L, Maixner W. Catechol-O-methyltransferase inhibition increases pain sensitivity through activation of both beta2- and beta3-adrenergic receptors. Pain. 2007 Apr;128(3):199-208. doi: 10.1016/j.pain.2006.09.022. Epub 2006 Nov 7.
PMID: 17084978BACKGROUNDDiatchenko L, Nackley AG, Slade GD, Bhalang K, Belfer I, Max MB, Goldman D, Maixner W. Catechol-O-methyltransferase gene polymorphisms are associated with multiple pain-evoking stimuli. Pain. 2006 Dec 5;125(3):216-224. doi: 10.1016/j.pain.2006.05.024. Epub 2006 Jul 11.
PMID: 16837133BACKGROUNDChou WY, Yang LC, Lu HF, Ko JY, Wang CH, Lin SH, Lee TH, Concejero A, Hsu CJ. Association of mu-opioid receptor gene polymorphism (A118G) with variations in morphine consumption for analgesia after total knee arthroplasty. Acta Anaesthesiol Scand. 2006 Aug;50(7):787-92. doi: 10.1111/j.1399-6576.2006.01058.x.
PMID: 16879459BACKGROUNDKlepstad P, Rakvag TT, Kaasa S, Holthe M, Dale O, Borchgrevink PC, Baar C, Vikan T, Krokan HE, Skorpen F. The 118 A > G polymorphism in the human mu-opioid receptor gene may increase morphine requirements in patients with pain caused by malignant disease. Acta Anaesthesiol Scand. 2004 Nov;48(10):1232-9. doi: 10.1111/j.1399-6576.2004.00517.x.
PMID: 15504181BACKGROUNDReyes-Gibby CC, Shete S, Rakvag T, Bhat SV, Skorpen F, Bruera E, Kaasa S, Klepstad P. Exploring joint effects of genes and the clinical efficacy of morphine for cancer pain: OPRM1 and COMT gene. Pain. 2007 Jul;130(1-2):25-30. doi: 10.1016/j.pain.2006.10.023. Epub 2006 Dec 6.
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PMID: 10646358BACKGROUND
Biospecimen
A database/ repository will be constructed for future research, analysis, and recruitment. De-identified study subjects' genetic information and their responses to pain and pain medications, side-effects will be included in the database. Blood specimens will be included in the repository for exploring potentially important SNPs and biomarkers in future. No patient identifiers will be included in the repository and there will be a confidential (access limited to investigators only) code or link between the repository/database and other information about the participant.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Senthilkumar Sadhasivam
Children's Hospital Medical Center, Cincinnati
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 12, 2011
First Posted
December 20, 2011
Study Start
November 1, 2010
Primary Completion
January 1, 2016
Study Completion
April 30, 2017
Last Updated
January 31, 2017
Record last verified: 2017-01