MedPath

Gabapentin in post-surgery pai

Phase 4
Conditions
Pain management after surgery
Surgery
Registration Number
ISRCTN63614165
Lead Sponsor
niversity Hospitals Bristol NHS Foundation Trust
Brief Summary

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33444208/ protocol (added 15/01/2021)

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
1196
Inclusion Criteria

Current inclusion criteria as of 18/01/2019:
1. Over 18 years of age
2. Undergoing non-emergency surgery:
2.1. Cardiac (surgery on the heart and great vessels carried out via midline sternotomy)
2.2. Thoracic surgery (open or minimal access surgery on the lungs and surrounding tissues)
2.3. Abdominal (open or minimal access surgery within the abdominal cavity)
3. Expected to stay in hospital at least until day 2 after surgery (day 0 is day of surgery)
4. Expected to be able to swallow during the time of the study intervention

Previous inclusion criteria:
1. Over 18 years of age
2. Undergoing non-emergency surgery:
2.1. Cardiac (surgery on the heart and great vessels carried out via midline sternotomy)
2.2. Thoracic surgery (surgery on the lungs and surrounding tissues)
2.3. Abdominal (open or laparoscopic surgery within the abdominal cavity)

Exclusion Criteria

Current exclusion criteria as of 18/01/2019:
1. Taking anti-epileptic medication(s)
2. Allergy to gabapentin
3. Already taking gabapentin or gabapentanoids
4. Rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose galactose malabsorption
5. Planned epidural analgesia
6. Intended use of any gabapentanoids in the peri-operative analgesic protocol other than the study medication (this includes but is not restricted to: pregabalin, enacarbil gabapentin, 4-methylpregabalin and phenibut)
7. Known renal impairment (for such patients, estimated glomerular filtration rate (eGFR)
8. Weight <50kg
9. Inability to provide written informed consent to participate in the trial
10. Unwilling to participate in follow-up
11. Prisoners
12. Enrolled in another clinical trial and: a) the patient is currently taking an investigational medicinal product as part of the other trial; or b) co-enrolment is not permitted by the other trial; or c) co-enrolment would be burdensome for the patient

Previous exclusion criteria:
1. Expected to have a minimum length of hospital stay of less than 2 days
2. Taking anti-epileptic medication(s)
3. Allergy to gabapentin
4. Planned epidural analgesia
5. Intended use of any gabapentanoids in the peri-operative analgesic protocol other than the study medication (this includes but is not restricted to: pregabalin, enacarbil gabapentin, 4-methylpregabalin and phenibut)
6. Known renal impairment (for such patients, estimated glomerular filtration rate (eGFR) <30ml/min/1.732)
7. Weight <50kg
8. Inability to provide written informed consent to participate in the trial
9. Unwilling to participate in follow-up
10. Prisoners
11. Already taking gabapentin or gabapentanoids
12. Rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose galactose malabsorption
13. Currently taking an investigational medicinal product as part of another clinical trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time from start of surgery to hospital discharge is measured by reviewing participant hospital notes at discharge.
Secondary Outcome Measures
NameTimeMethod
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