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临床试验/NCT07330063
NCT07330063招募中2 期

Efficacy and Safety of Anrikefon Injection for the Treatment of Postoperative Pain in Patients Undergoing Totally Laparoscopic Radical Distal Gastrectomy

Tianjin Medical University Cancer Institute and Hospital1 个研究点 分布在 1 个国家目标入组 114 人开始时间: 2026年4月8日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
入组人数
114
试验地点
1
主要终点
Total Consumption of Sufentanil via PCIA

研究概览

简要总结

Anruikefen is a peripherally highly selective kappa receptor agonist that does not easily cross the blood-brain barrier, resulting in a low incidence of central adverse reactions such as respiratory depression, sedation, and addiction. As a Class 1 new drug, it was approved for marketing in China on May 13, 2025, and is indicated for the treatment of postoperative pain following abdominal surgery. Results from two Phase Ⅲ randomized controlled trials (RCTs) of Anruikefen have demonstrated its significant analgesic efficacy, with the incidence of postoperative nausea and vomiting (PONV) being 50% significantly lower than that in the placebo group, which confirms the favorable safety profile of Anruikefen Injection.

Therefore, this investigator-initiated trial (IIT) is designed to further verify the efficacy and safety of Anruikefen in patients undergoing total laparoscopic distal gastrectomy for gastric cancer.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Aged between 18 and 75 years old (inclusive).
  • •American Society of Anesthesiologists (ASA) physical status classification Class I-III.
  • •Body Mass Index (BMI) ranging from 18 kg/m² to 30 kg/m² (inclusive).
  • •Patients scheduled for elective total laparoscopic distal gastrectomy for gastric cancer under general anesthesia, with surgical duration < 5 hours.
  • •Surgical incision length < 8 cm.
  • •Voluntarily agree to participate in the trial and sign the informed consent form.

排除标准

  • •Patients undergoing emergency surgery or suffering from trauma.
  • •Patients who undergo conversion to open surgery or laparoscopically assisted distal gastrectomy for gastric cancer during the operation.
  • •Patients who refuse to receive Patient-Controlled Intravenous Analgesia (PCIA).
  • •Patients with a history of prior abdominal surgery.
  • •Patients expected to require prolonged endotracheal intubation after surgery.

研究组 & 干预措施

Anruikfen Intravenous Bolus Injection Group

Experimental

Anruikefen 1 μg/kg via intravenous bolus injection, once every 8 hours (q8h), for a total of 6 doses.

干预措施: Anruikefen (Intravenous Bolus) (Drug)

Placebo Group

Placebo Comparator

Normal Saline via intravenous bolus injection, once every 8 hours (q8h), for a total of 6 doses.

干预措施: Placebo Group (Drug)

Anruikefen Intravenous Infusion Group

Experimental

Anruikefen 1.5 μg/kg via intravenous infusion, once every 8 hours (q8h), for a total of 6 doses.

干预措施: Anruikefen (Intravenous Infusion) (Drug)

结局指标

主要结局

Total Consumption of Sufentanil via PCIA

时间窗: within 48 Hours after the First Administration Postoperatively

次要结局

  • Cumulative consumption of sufentanil delivered via patient-controlled intravenous analgesia (PCIA)(From the end of surgery up to 24 hours after the first administration of study drug)
  • Rest numerical rating scale (NRS) pain score assessed at baseline, 1 hour , 8 hours , 24 hours, and 48 hours after the first study drug administration;(Baseline (immediately before the first study drug administration), 1 hour ± 30 minutes, 8 hours ± 2 hours, 24 hours ± 2 hours, and 48 hours ± 2 hours after the first administration of study drug)
  • Dynamic numerical rating scale (NRS) pain score assessed at baseline, 1 hour , 8 hours , 24 hours, and 48 hours after the first study drug administration;(Baseline (immediately before the first study drug administration), 1 hour ± 30 minutes, 8 hours ± 2 hours, 24 hours ± 2 hours, and 48 hours ± 2 hours after the first administration of study drug)
  • Peak rest numerical rating scale (NRS) pain score(Within the period from 0 hours to 24 hours after the first administration of study drug)
  • Peak dynamic numerical rating scale (NRS) pain score(Within the period from 0 hours to 24 hours after the first administration of study drug)
  • Incidence of rescue antiemetic treatment administration(Within 48 hours after the first administration of study drug)
  • I-FEED score(At 24 hours, 48 hours, 72 hours, and 96 hours after the first administration of study drug)
  • Time in hours from the end of surgery to the first oral intake(Throughout the inpatient hospital stay after surgery)
  • Time in hours from the end of surgery to the recovery of bowel function (defined as the first passage of flatus or first defecation)(Throughout the inpatient hospital stay after surgery)
  • Levels of inflammatory factors (IL-6, IL-10, TNF-α, CRP, NLR)(Preoperative baseline (prior to surgery), before the first postoperative administration of study drug, and 48 hours after the first administration of study drug)
  • Sleep quality (assessed via the Richards-Campbell Sleep Questionnaire) on the night of the first study drug administration(On the single night following the first administration of study drug)
  • Time (hours) from the end of surgery to the first out-of-bed ambulation(Throughout the inpatient hospital stay following surgery)
  • Total time (days) from surgery until patients meet discharge criteria(during hospitalization)
  • Total hospital length of stay measured in calendar days at the time of participant discharge after surgery(At the moment of hospital discharge for each participant)
  • Patient satisfaction score at 48 h after the first study drug administration(At 48 hours after the first administration of study drug)
  • Overall patient recovery quality score evaluated via the QoR-15 questionnaire(At 24 hours, 48 hours, and 72 hours after the first administration of study drug)
  • Incidence of Serious Adverse Events (SAEs)(Throughout the inpatient hospital stay following surgery)
  • Incidence of Treatment-Emergent Adverse Events (TEAEs) related to the study drug(Throughout the inpatient hospital stay following surgery, during the period of study drug administration)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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