NCT02525900

Brief Summary

Prospective, randomized study comparing local wound infiltration with local anesthetic (LA) versus single injection TAP blocks (ssTAP) with LA versus continuous TAP block (TAP caths) catheters with LA for treatment of postoperative pain after total abdominal hysterectomy (TAH).

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
15

participants targeted

Target at below P25 for phase_3 postoperative-pain

Timeline
Completed

Started Sep 2016

Typical duration for phase_3 postoperative-pain

Geographic Reach
1 country

1 active site

Status
terminated

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

August 14, 2015

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 18, 2015

Completed
1.1 years until next milestone

Study Start

First participant enrolled

September 12, 2016

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 5, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 5, 2018

Completed
Last Updated

July 9, 2018

Status Verified

July 1, 2018

Enrollment Period

1.7 years

First QC Date

August 14, 2015

Last Update Submit

July 5, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Total morphine consumption postoperatively for pain management as measured by the Visual Analog Scale (VAS) pain scale.

    The total morphine consumption used post operatively to manage pain will be measured utilizing the VAS pain scale with 0 being no pain and 10 being as much pain as can be tolerated.

    Up to 48 hours post treatment

Study Arms (3)

Wound Infiltration

PLACEBO COMPARATOR

0.5mg/kg of 0.25% bupivacaine will be injected around the incision for wound infiltration

Procedure: Wound Infiltration

TAP Blocks

EXPERIMENTAL

20mL of 0.25% bupivacaine will be injected on each side of the abdomen for ssTAP procedures

Procedure: TAP Blocks

TAP Catheters

EXPERIMENTAL

20mL of 0.25% bupivacaine will be injection on each side of the abdomen and catheters placed for repeat bolus every 12 hours with 20mL of 0.25% Bupivacine until 48 hours post procedure or hospital discharge.

Procedure: TAP Catheters

Interventions

Wound Infiltration with 0.25% Bupivacine

Wound Infiltration
TAP BlocksPROCEDURE

bilateral TAP block with 0.25% Bupivacaine

TAP Blocks
TAP CathetersPROCEDURE

bilateral TAP Catheter with repeat bolus of 0.25% Bupivacaine

TAP Catheters

Eligibility Criteria

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

You may qualify if:

  • Scheduled to undergo total abdominal hysterectomy
  • Age ≥ 18 years.
  • American Society of Anesthesiologists (ASA) physical status ≤ 3

You may not qualify if:

  • Known coagulopathy
  • Known allergy to Bupivacaine or morphine
  • Contraindication to Tylenol usage
  • Medical conditions contraindicated to bupivacaine use
  • Daily narcotic usage for ≥ 2 weeks of 20mg of oxycodone daily or an equivalent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and SymptomsPainNeurologic ManifestationsSigns and Symptoms

Study Officials

  • Sarah Tingle, M.D.

    University of Arkansas

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 14, 2015

First Posted

August 18, 2015

Study Start

September 12, 2016

Primary Completion

June 5, 2018

Study Completion

June 5, 2018

Last Updated

July 9, 2018

Record last verified: 2018-07

Locations