AnalgesiaPhase 2NCT05901441
Effect of Epidural Hydromorphone Combined With Ropivacaine in Labor Analgesia
A Phase 2 study testing Hydromorphone, Sufentanil and Ropivacaine in people with Analgesia and Labor Pain, run by Maternal and Child Health Hospital of Hubei Province at 1 site in China.
Trial summary
The purpose of this study is to compare the effects of three different doses of hydromorphone combined with ropivacaine and sufentanil combined with ropivacaine in epidural labor analgesia through prospective clinical trials, so as to explore whether hydromorphone combined with ropivacaine has advantages in epidural… Read more about this study
- Who is it for?
- Ages 20 to 40 years, women only
- Conditions the study is for
- Analgesia, Labor Pain
- What is being tested?
- Hydromorphone, Sufentanil and Ropivacaine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 240 participants
- Where
- 1 siteChina
- Study dates
- 1 Jun 2022to 30 May 2023
- Phase
- Phase 2
- 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 20 to 40 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- no contraindication of intraspinal anesthesia the American Society of Anesthesiologists(ASA) physical status ranked Ⅰ-Ⅱ competent to provide informed consent
Who cannot join
- poor respiratory functions severe cardiovascular diseases
Trial locations and contacts
1 site in 1 country.
China1 site
Maternal and Child Health Hospital of Hubei Province
Wuhan, Hubei, 430000
About this study
The purpose of this study is to compare the effects of three different doses of hydromorphone combined with ropivacaine and sufentanil combined with ropivacaine in epidural labor analgesia through prospective clinical trials, so as to explore whether hydromorphone combined with ropivacaine has advantages in epidural labor analgesia, and find out the optimal dose of hydromorphone.
Participants will be randomly allocated to four groups: H1 group,H2 group,H3 group and SF group.For those in H1 group: they will be administered with15 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in H2 group: they will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in H3 group: they will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in SF group: they will be administered with 40 ug/ml sufentanil and 0.08% ropivacaine for epidural labor analgesia.
The goal of this clinical trial is to provide a new treatment option for pregnant women in epidural labor analgesia, and to provide a basis for hydromorphone combined with ropivacaine in epidural labor analgesia.
- Conditions
- Analgesia, Labor Pain
- Being tested
- Hydromorphone, Sufentanil, Ropivacaine
- Medical subject headings
- Agnosia, Labor Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HydromorphoneDrug
For those in H1 group: they will be administered with15 ug/ml hydromorphone, For those in H2 group: they will be administered with17.5 ug/ml hydromorphone , For those in H3 group: they will be administered with 20 ug/ml hydromorphone
SufentanilDrug
For those in SF group: they will be administered with 40 ug/ml sufentanil
RopivacaineDrug
0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms
| Study group | Role | What they receive |
|---|---|---|
| H1 group | Experimental | H1 group will be administered with15 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| H2 group | Experimental | H2 group will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| H3 group | Experimental | H3 group will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| SF group | Active comparator | SF group will be administered with 40 ug/ml sufentanil and 0.08% ropivacaine Receives: Drug: Sufentanil; Drug: Ropivacaine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Visual Analogue Scale(VAS)
VAS will be monitored and recorded at 6 time points, including the time of entering the operating room(Time 0), when the first dose is given for 5 minutes(Time 1), when the first dose is given for 15 minutes(Time 2), when the first dose is given for 30 minutes(Time 3), 30 minutes after delivery (Time 4), and 60 minutes after delivery (Time 5). The VAS consists of a 10 cm line,with two end points representing 0 (no pain) and 10 (pain as bad as it could possibly be).
Measured: 30 minutes-1 hour
Secondary outcomes (7)
Heart rate(HR)
HR will be monitored and recorded at 5 time points, including the time of entering the operating room(Time 0),when the first dose is given for 5 minutes(Time 1), when the first dose is given for 15 minutes(Time 2), 30 minutes after delivery (Time 3), and 60 minutes after delivery (Time 4).
Measured: 30 minutes-1.5 hours
Mean arterial pressure(MAP)
MAP will be monitored and recorded at 5 time points, including the time of entering the operating room(Time 0),when the first dose is given for 5 minutes(Time 1), when the first dose is given for 15 minutes(Time 2), 30 minutes after delivery (Time 3), and 60 minutes after delivery (Time 4).
Measured: 30 minutes-1.5 hours
Pulse oxygen saturation
Pulse oxygen saturation will be monitored and recorded at 5 time points, including the time of entering the operating room(Time 0),when the first dose is given for 5 minutes(Time 1), when the first dose is given for 15 minutes(Time 2), 30 minutes after delivery (Time 3), and 60 minutes after delivery (Time 4).
Measured: 30 minutes-1.5 hours
Duration of analgesia
Defined as the time from labor analgesia to delivery of the fetus.
Measured: 30 minutes-1.5 hours
The number of compressions
The number of compressions by electronic analgesia pump from labor analgesia to delivery of the fetus.
Measured: 30 minutes-1.5 hours
Adverse reactions
The occurrence of adverse reactions(nausea, vomiting, skin itching and other adverse reactions).
Measured: 30 minutes-1.5 hours
The Apgar scores
The Apgar scores of 1 and 5 minutes after birth will be recorded.
Measured: 30 minutes-1.5 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jun 2023
- Study start1 Jun 2022
- Primary completion30 May 2023
- Study completion30 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AnalgesiaStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 240 participants (actual)
Sponsor and investigators
- Lead sponsor
- Maternal and Child Health Hospital of Hubei Province
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Li Na, Maternal and Child Health Hospital of Hubei Province
- Investigators
- Na Li, MD, Principal investigator, Maternal and Child Health Hospital of Hubei Province
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05901441
- Sponsor's protocol ID
- MCHH_002
- Status last verified
- Jun 2023
- First submitted
- 4 Jun 2023
- Last updated
- 13 Jun 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Epidural Hydromorphone Combined With Ropivacaine in Labor Analgesia
- ClinicalTrials.gov ID
- NCT05901441
- Acronym / sponsor ID
- MCHH_002
- Conditions
- Analgesia, Labor Pain
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 240 participants (actual)
- Lead sponsor
- Maternal and Child Health Hospital of Hubei ProvinceUniversity, hospital or other
- Study start
- 1 Jun 2022 (actual)
- Primary completion
- 30 May 2023 (actual)
- Study completion
- 30 May 2023 (actual)
- First posted
- 13 Jun 2023 (actual)
- 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.
The purpose of this study is to compare the effects of three different doses of hydromorphone combined with ropivacaine and sufentanil combined with ropivacaine in epidural labor analgesia through prospective clinical trials, so as to explore whether hydromorphone combined with ropivacaine has advantages in epidural labor analgesia, and find out the optimal dose of hydromorphone.
Participants will be randomly allocated to four groups: H1 group,H2 group,H3 group and SF group.For those in H1 group: they will be administered with15 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in H2 group: they will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in H3 group: they will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in SF group: they will be administered with 40 ug/ml sufentanil and 0.08% ropivacaine for epidural labor analgesia.
The goal of this clinical trial is to provide a new treatment option for pregnant women in epidural labor analgesia, and to provide a basis for hydromorphone combined with ropivacaine in epidural labor analgesia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| H1 group | Experimental | Drug: Hydromorphone, Drug: RopivacaineH1 group will be administered with15 ug/ml hydromorphone and 0.08% ropivacaine |
| H2 group | Experimental | Drug: Hydromorphone, Drug: RopivacaineH2 group will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine |
| H3 group | Experimental | Drug: Hydromorphone, Drug: RopivacaineH3 group will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine |
| SF group | Active comparator | Drug: Sufentanil, Drug: RopivacaineSF group will be administered with 40 ug/ml sufentanil and 0.08% ropivacaine |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- no contraindication of intraspinal anesthesia the American Society of Anesthesiologists(ASA) physical status ranked Ⅰ-Ⅱ competent to provide informed consent
Key exclusion criteria (1 listed)
- poor respiratory functions severe cardiovascular diseases
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 |
|---|---|---|
| HydromorphoneFor those in H1 group: they will be administered with15 ug/ml hydromorphone, For those in H2 group: they will be administered with17.5 ug/ml hydromorphone , For those in H3 group: they will be administered with 20 ug/ml hydromorphone | Drug | H1 group, H2 group, H3 group |
| SufentanilFor those in SF group: they will be administered with 40 ug/ml sufentanil | Drug | SF group |
| Ropivacaine0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms | Drug | H1 group, H2 group, H3 group, SF group |
Primary outcome
Visual Analogue Scale(VAS)
Time frame: 30 minutes-1 hour
VAS will be monitored and recorded at 6 time points, including the time of entering the operating room(Time 0), when the first dose is given for 5 minutes(Time 1), when the first dose is given for 15 minutes(Time 2), when the first dose is given for 30 minutes(Time 3), 30 minutes after delivery (Time 4), and 60 minutes after delivery (Time 5). The VAS consists of a 10 cm line,with two end points representing 0 (no pain) and 10 (pain as bad as it could possibly be).
7 secondary outcomes
Heart rate(HR)
Time frame: 30 minutes-1.5 hours
Mean arterial pressure(MAP)
Time frame: 30 minutes-1.5 hours
Pulse oxygen saturation
Time frame: 30 minutes-1.5 hours
Duration of analgesia
Time frame: 30 minutes-1.5 hours
The number of compressions
Time frame: 30 minutes-1.5 hours
Adverse reactions
Time frame: 30 minutes-1.5 hours
The Apgar scores
Time frame: 30 minutes-1.5 hours
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 13 Jun 2023.
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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.
Na Li, MD principal investigator
Maternal and Child Health Hospital of Hubei Province
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Hydromorphone, Sufentanil and Ropivacaine in people with Analgesia and Labor Pain, run by Maternal and Child Health Hospital of Hubei Province 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 1 inclusion and 1 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 13 Jun 2023. 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
Visual Analogue Scale(VAS) (time frame: 30 minutes-1 hour). 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 13 Jun 2023.