Labor PainELAINNCT00987441
Epidural Labor Analgesia and Infant Neurobehavior
A study testing Ropivacaine and sufentanil in people with Labor Pain, run by Nanjing Medical University at 1 site in China.
Trial summary
Infant neurobehavior alteration is predictor of later intelligence development. Many factors would influence or are associated with infant neurobehavior, of which exist or appear during perinatal period. Neuraxial, especially epidural, analgesia to date is the most effective method in relieving labor pain. Read more about this study
- Who is it for?
- Ages 19 to 45 years, women only
- Conditions the study is for
- Labor Pain
- What is being tested?
- Ropivacaine and sufentanil
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,200 participants
- Where
- 1 siteChina
- Study dates
- Sep 2009to Jul 2011
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 to 45 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- >18years and <45years
- Spontaneous labor
- Analgesia request
Who cannot join
- Allergy to opioids, a history of the use of centrally-acting drugs of any sort, chronic pain and psychiatric diseases records
- Participants younger than 18 years or older than 45 years
- Those who were not willing to or could not finish the whole study at any time
- Using or used in the past 14 days of the monoamine oxidase inhibitors
- Alcohol addictive or narcotic dependent patients were excluded for their influence on the analgesic efficacy of the epidural analgesics
- Subjects with a nonvertex presentation or scheduled induction of labor
Trial locations and contacts
1 site in 1 country.
China1 site
The Affiliated Nanjing Maternity and Child Health Care Hospital
Nanjing, Jiangsu, 210004
About this study
Official title: Epidural Analgesia for Labor Pain and Infant Neurobehavior
Infant neurobehavior alteration is predictor of later intelligence development. Many factors would influence or are associated with infant neurobehavior, of which exist or appear during perinatal period. Neuraxial, especially epidural, analgesia to date is the most effective method in relieving labor pain. Although previous studies showed that opioid used in epidural analgesia for labor pain can affect newborn neurobehavior negatively in a dose-escalation associated manner, whether epidural analgesia itself would produce unpredictable effect on newborn neurobehavior is still unknown. Hereby the investigators designed this trial to investigate the hypothesis that epidural analgesia for labor pain control itself would not produce negative effect on infant neurobehavior.
- Conditions
- Labor Pain
- Being tested
- Ropivacaine and sufentanil
- Keywords
- Neurobehavior, Epidural analgesia, Local anesthetic, Opioid
- Medical subject headings
- Labor Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.125% plus sufentanil 0.3 microgram
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.125% plus sufentanil 0.4 microgram
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.125% plus sufentanil 0.5 microgram
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.0625% plus sufentanil 0.4 microgram
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.1875% plus sufentanil 0.4 microgram
Ropivacaine and sufentanilDrug
Also called Naropin, Sufenil
Ropivacaine 0.25% plus sufentanil 0.4 microgram
| Study group | Role | What they receive |
|---|---|---|
| Local anesthetic plus opioid 1 | Active comparator | Local anesthetic (ropivacaine 0.125%) plus first opioid dose (sufentanil 0.3 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
| Local anesthetic plus opioid 2 | Active comparator | Local anesthetic (ropivacaine 0.125%) plus second opioid dose (sufentanil 0.4 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
| Local anesthetic plus opioid 3 | Active comparator | Local anesthetic (ropivacaine 0.125%) plus third opioid dose (sufentanil 0.5 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
| Local anesthetic 1 plus opioid | Active comparator | First local anesthetic dose (ropivacaine 0.0625%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
| Local anesthetic 2 plus opioid | Active comparator | Second local anesthetic dose (ropivacaine 0.1875%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
| Local anesthetic 3 plus opioid | Active comparator | Third local anesthetic dose (ropivacaine 0.25%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space Receives: Drug: Ropivacaine and sufentanil |
What is being measured
The primary outcome is the main question the study is designed to answer.
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: Immediate after birth (0 min)
Secondary outcomes (10)
Apgar scoring
Measured: One min and 5min after birth.
Umbilical-cord gases analysis
Measured: At the time baby was born (0min)
Neonatal sepsis evaluation
Measured: One hour after the baby was born
Neonatal antibiotic treatment
Measured: One hour after the baby was born
Incidence of maternal side effects
Measured: Analgesia initiation (0min) to successful vaginal delivery (this time encountered alteration with different women)
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: 10min after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: 1h after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: 8h after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: 1d after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Measured: 1wk after birth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2009 (estimated)
- Study startSep 2009
- Primary completionJul 2011
- Study completionJul 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Labor PainStudies of the same condition, open and under way.
- More trials run by Nanjing Medical UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nanjing Medical University
- Sponsor type
- University, hospital or other
- Investigators
- XiaoFeng Shen, MD, Study chair, Nanjing Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00987441
- Sponsor's protocol ID
- NJMU-0933MZ
- Other IDs
- NMUK2191
- Acronym
- ELAIN
- Status last verified
- Jul 2011
- First submitted
- 30 Sep 2009
- Last updated
- 27 Jul 2011
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Epidural Analgesia for Labor Pain and Infant Neurobehavior
- ClinicalTrials.gov ID
- NCT00987441
- Acronym / sponsor ID
- ELAIN / NJMU-0933MZ
- Conditions
- Labor Pain
- Keywords
- Neurobehavior, Epidural analgesia, Local anesthetic, Opioid
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,200 participants (actual)
- Lead sponsor
- Nanjing Medical UniversityUniversity, hospital or other
- Study start
- Sep 2009
- Primary completion
- Jul 2011 (actual)
- Study completion
- Jul 2011 (actual)
- First posted
- 1 Oct 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Infant neurobehavior alteration is predictor of later intelligence development. Many factors would influence or are associated with infant neurobehavior, of which exist or appear during perinatal period. Neuraxial, especially epidural, analgesia to date is the most effective method in relieving labor pain. Although previous studies showed that opioid used in epidural analgesia for labor pain can affect newborn neurobehavior negatively in a dose-escalation associated manner, whether epidural analgesia itself would produce unpredictable effect on newborn neurobehavior is still unknown. Hereby the investigators designed this trial to investigate the hypothesis that epidural analgesia for labor pain control itself would not produce negative effect on infant neurobehavior.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Local anesthetic plus opioid 1 | Active comparator | Drug: Ropivacaine and sufentanilLocal anesthetic (ropivacaine 0.125%) plus first opioid dose (sufentanil 0.3 microgram/ml) delivered peridural space |
| Local anesthetic plus opioid 2 | Active comparator | Drug: Ropivacaine and sufentanilLocal anesthetic (ropivacaine 0.125%) plus second opioid dose (sufentanil 0.4 microgram/ml) delivered peridural space |
| Local anesthetic plus opioid 3 | Active comparator | Drug: Ropivacaine and sufentanilLocal anesthetic (ropivacaine 0.125%) plus third opioid dose (sufentanil 0.5 microgram/ml) delivered peridural space |
| Local anesthetic 1 plus opioid | Active comparator | Drug: Ropivacaine and sufentanilFirst local anesthetic dose (ropivacaine 0.0625%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space |
| Local anesthetic 2 plus opioid | Active comparator | Drug: Ropivacaine and sufentanilSecond local anesthetic dose (ropivacaine 0.1875%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space |
| Local anesthetic 3 plus opioid | Active comparator | Drug: Ropivacaine and sufentanilThird local anesthetic dose (ropivacaine 0.25%) plus opioid (sufentanil 0.4 microgram/ml) delivered peridural space |
Who may qualify
- Ages
- 19 to 45 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- >18years and <45years
- Spontaneous labor
- Analgesia request
Key exclusion criteria (6 listed)
- Allergy to opioids, a history of the use of centrally-acting drugs of any sort, chronic pain and psychiatric diseases records
- Participants younger than 18 years or older than 45 years
- Those who were not willing to or could not finish the whole study at any time
- Using or used in the past 14 days of the monoamine oxidase inhibitors
- Alcohol addictive or narcotic dependent patients were excluded for their influence on the analgesic efficacy of the epidural analgesics
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.125% plus sufentanil 0.3 microgram | Drug | Local anesthetic plus opioid 1 |
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.125% plus sufentanil 0.4 microgram | Drug | Local anesthetic plus opioid 2 |
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.125% plus sufentanil 0.5 microgram | Drug | Local anesthetic plus opioid 3 |
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.0625% plus sufentanil 0.4 microgram | Drug | Local anesthetic 1 plus opioid |
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.1875% plus sufentanil 0.4 microgram | Drug | Local anesthetic 2 plus opioid |
| Ropivacaine and sufentanilAlso: Naropin, SufenilRopivacaine 0.25% plus sufentanil 0.4 microgram | Drug | Local anesthetic 3 plus opioid |
Primary outcome
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: Immediate after birth (0 min)
10 secondary outcomes
Apgar scoring
Time frame: One min and 5min after birth.
Umbilical-cord gases analysis
Time frame: At the time baby was born (0min)
Neonatal sepsis evaluation
Time frame: One hour after the baby was born
Neonatal antibiotic treatment
Time frame: One hour after the baby was born
Incidence of maternal side effects
Time frame: Analgesia initiation (0min) to successful vaginal delivery (this time encountered alteration with different women)
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: 10min after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: 1h after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: 8h after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: 1d after birth
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB)
Time frame: 1wk after birth
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jul 2011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
XiaoFeng Shen, MD study chair
Nanjing Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Ropivacaine and sufentanil in people with Labor Pain, run by Nanjing Medical University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jul 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Neurobehavior evaluation with the Assessment of Preterm Infants' Behavior (APIB) (time frame: Immediate after birth (0 min)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2011.