NCT01866254

Brief Summary

The purpose of this study is to determine if intrathecal hydromorphone will relieve pain as well as intrathecal morphine after cesarean delivery, with fewer side effects.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
45

participants targeted

Target at P25-P50 for early_phase_1 pain

Timeline
Completed

Started May 2013

Longer than P75 for early_phase_1 pain

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

Study Start

First participant enrolled

May 1, 2013

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

May 28, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 31, 2013

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 4, 2017

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 22, 2018

Completed
Last Updated

January 3, 2019

Status Verified

January 1, 2019

Enrollment Period

4.6 years

First QC Date

May 28, 2013

Last Update Submit

January 2, 2019

Conditions

Keywords

HydromorphoneMorphinecesarean deliverypain managementrespiratory depression

Outcome Measures

Primary Outcomes (1)

  • Change in Pain Scores

    Pain scores to be measured using the verbal response scale (VRS). The VRS pain score is measured on a scale of 0-10 with 0 representing absolutely no pain and 10 representing worst pain imaginable

    from Baseline to 24 Hours

Secondary Outcomes (1)

  • Number of Participants with Adverse Events (AEs)

    up to 24 Hours

Study Arms (2)

Hydromorphone

EXPERIMENTAL

100 mg, intrathecal administration

Drug: Hydromorphone

Morphine

ACTIVE COMPARATOR

200 mg, intrathecal administration

Drug: Morphine

Interventions

Injection of 100 mcg hydromorphone into the intrathecal space

Also known as: DILAUDID® INJECTION
Hydromorphone

Injection of 200 mcg of intrathecal morphine

Also known as: Duramorph
Morphine

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Scheduled for elective Cesarean sections under spinal anesthesia or combined spinal anesthesia
  • ASA status of I-III
  • BMI \< 40
  • Able to understand and sign informed consent

You may not qualify if:

  • Severe pre-eclampsia
  • Conversion to general anesthetic
  • History of chronic opioid use
  • Allergy to morphine, or hydromorphone
  • Hyperemesis gravidarum
  • Emergency case
  • Patients who have an infection at the intended site of spinal insertion

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

MeSH Terms

Conditions

PainAgnosiaRespiratory Insufficiency

Interventions

HydromorphoneMorphine

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Morphine DerivativesMorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Study Officials

  • Grace Shih, MD

    University of Kansas Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

May 28, 2013

First Posted

May 31, 2013

Study Start

May 1, 2013

Primary Completion

December 4, 2017

Study Completion

October 22, 2018

Last Updated

January 3, 2019

Record last verified: 2019-01

Locations