NCT04436224

Brief Summary

Hydromorphone has a clear analgesic effect, and has few advantages in respiratory depression and gastrointestinal motility. The study will further explore the continuous pumping-dose of hydromorphone for ICU non-mechanical ventilation patients and monitor its effective plasma concentration as well as evaluates the safety and effectiveness of hydromorphone for ICU non-mechanical ventilation patients.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
530

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2020

Geographic Reach
1 country

1 active site

Status
unknown

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

June 12, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 17, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

September 4, 2020

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2022

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2022

Completed
Last Updated

January 20, 2022

Status Verified

January 1, 2022

Enrollment Period

1.7 years

First QC Date

June 12, 2020

Last Update Submit

January 19, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • successful analgesic proportion

    Proportion of patients in each group who reached the target analgesia score range

    From date of using the intervention drugs until the date of leaving from icu, up to 28 days

Secondary Outcomes (4)

  • Score

    From date of using the intervention drugs until the date of stopping using intervention drugs, up to 28 days

  • dose of analgesics

    From date of using the intervention drugs until the date of stopping using intervention drugs, up to 28 days

  • Adverse event

    From date of using the intervention drugs until the date of discharge or death from any cause, up to 60 days

  • ICU stay

    from the date of entering icu until the date of leaving icu or death from any cause, up to 28 days.

Study Arms (3)

hydromorphone

EXPERIMENTAL

NS 40ML+ hydromorphone(10mg , 2mg:2ml),IV-Pump,maintenance dose 0.50mg/h

Drug: Hydromorphone

fentanyl

ACTIVE COMPARATOR

NS 40ML+ fentanyl(0.5mg, 0.1mg:2ml),IV-Pump,maintenance dose 0.08-0.2mg/h

Drug: Fentanyl

Butorphanol

ACTIVE COMPARATOR

NS 40ML+ butorphanol(10mg, 1mg:1ml),IV-Pump,maintenance dose 0.7-10mg/kg/h

Drug: Butorphanol

Interventions

Intravenous analgesia using hydromorphone in ICU patients with non-mechanical ventilation(NS 40ML+ hydromorphone 10mg ,IV-Pump)

hydromorphone

Intravenous analgesia using fentanyl in ICU patients with non-mechanical ventilation(NS 40ML+ fentanyl 0.5mg, IV-Pump)

fentanyl

Intravenous analgesia using butorphanol in ICU patients with non-mechanical ventilation(NS 40ML+ butorphanol 10mg,IV-Pump)

Butorphanol

Eligibility Criteria

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

You may qualify if:

  • Age ≥18 years old;
  • Non-mechanical ventilation patients with expected ICU stay time \>24h
  • People with moderate to severe pain who need immediate analgesic treatment (NRS ≥ 4 or BPS ≥ 5 points, CPOT ≥ 3);

You may not qualify if:

  • pregnancy;
  • can not get pain score from patients
  • allergy to drugs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Southern medical university Nanfang hospital

Guangzhou, 510515, China

RECRUITING

MeSH Terms

Conditions

Agnosia

Interventions

HydromorphoneFentanylButorphanol

Condition Hierarchy (Ancestors)

Perceptual DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Morphine DerivativesMorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic CompoundsPiperidinesHeterocyclic Compounds, 1-Ring

Central Study Contacts

Hongbin Hu, doctor

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

June 12, 2020

First Posted

June 17, 2020

Study Start

September 4, 2020

Primary Completion

June 1, 2022

Study Completion

September 1, 2022

Last Updated

January 20, 2022

Record last verified: 2022-01

Locations