NCT05691933

Brief Summary

Pain control after major upper abdominal surgeries is an essential step to guard against postoperative complications such as lung atelectasis. This major step can be achieved by opioids or regional blocks. Regional blocks allow better pain control and avoid side effects of opioid based pain control

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Feb 2023

Shorter than P25 for phase_3

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

January 11, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

January 20, 2023

Completed
12 days until next milestone

Study Start

First participant enrolled

February 1, 2023

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2023

Completed
Last Updated

January 25, 2023

Status Verified

January 1, 2023

Enrollment Period

5 months

First QC Date

January 11, 2023

Last Update Submit

January 21, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Postoperative morphine requirements for 24 hours

    Visual analogue score will be measured every 2 hours

    24 hours postoperatively

Secondary Outcomes (3)

  • Pain assessment

    24 hours postoperatively

  • Rescue analgesia

    24 hours postoperatively

  • Side effects

    24 hours postoperatively

Study Arms (2)

Block group

ACTIVE COMPARATOR

Patients will be subjected to bilateral external oblique intercostal plane block

Procedure: Block group

Opioid group

ACTIVE COMPARATOR

Patients will be subjected to morphine infusion at a rate of 0.03mg/kg/h

Procedure: Morphine infusion

Interventions

Block groupPROCEDURE

Patient will be subjected to bilateral external oblique intercostal plane block

Block group

Patients will be subjected to morphine infusion at a rate of 0.03mg/kg/h

Opioid group

Eligibility Criteria

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

You may qualify if:

  • patients undergoing upper abdominal surgeries

You may not qualify if:

  • BMI above 40
  • allergy for drugs used
  • complicated cases
  • patient refusal
  • chronic opioid use
  • cognitive dysfunction
  • chronic kidney disease
  • Liver failure

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Hughes M, McNally S, McKeown DW, Wigmore S. Effect of analgesic modality on outcome following open liver surgery: a systematic review of postoperative analgesia. Minerva Anestesiol. 2015 May;81(5):541-56. Epub 2014 Jun 11.

    PMID: 24918191BACKGROUND
  • Rosero EB, Cheng GS, Khatri KP, Joshi GP. Evaluation of epidural analgesia for open major liver resection surgery from a US inpatient sample. Proc (Bayl Univ Med Cent). 2014 Oct;27(4):305-12. doi: 10.1080/08998280.2014.11929141.

    PMID: 25484494BACKGROUND

Central Study Contacts

Mohamed Abdelmawla, MD

CONTACT

Maha Ghanem, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Double blinded
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 11, 2023

First Posted

January 20, 2023

Study Start

February 1, 2023

Primary Completion

July 1, 2023

Study Completion

July 1, 2023

Last Updated

January 25, 2023

Record last verified: 2023-01

Data Sharing

IPD Sharing
Will share

Data will be shared on request

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
One year
More information