AnalgesiaPhase 2NCT06036797
Efficacy and Safety of Hydromorphone-ropivacaine Versus Sufentanil-ropivacaine for Epidural 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
- 17 Sep 2023to 17 Oct 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
- American Society of Anesthesiologists (ASA) physical status II
- a single fetus
- competent to provide informed consent
Who cannot join
- severe respiratory diseases including hypoxemia, respiratory failure and severe pneumonia
- severe circulatory diseases including acute decompensated heart failure and peripartum cardiomyopathy
- placenta previa
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Maternal and Child Health Hospital of Hubei Province
Wuhan, Hubei, 430000
Na Li, MD, +862763490107, lina@hbfy.com
About this study
Official title: Efficacy and Safety of Hydromorphone-ropivacaine Versus Sufentanil-ropivacaine for Epidural Labor Analgesia: a Randomized Controlled Trial
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 : Group 1, Group 2, Group 3 and Group 4. For those in Group 1 : they will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 2 : they will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 4 : they will be administered with 0.4 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 Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone
SufentanilDrug
For those in Group 4 : they will be administered with 0.4 ug/ml sufentanil
RopivacaineDrug
0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Group 1 will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| Group 2 | Experimental | Group 2 will be administered with 17.5 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| Group 3 | Experimental | Group 3 will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine Receives: Drug: Hydromorphone; Drug: Ropivacaine |
| Group 4 | Active comparator | Group 4 will be administered with 0.4 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 minute and 5 minutes after birth will be recorded.
Measured: 1 minute and 5 minutes after birth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2023
- Study start17 Sep 2023
- Primary completion17 Oct 2023 (estimated)
- Study completion17 Oct 2023 (estimated)
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 (estimated)
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
- NCT06036797
- Sponsor's protocol ID
- MCHH_003
- Status last verified
- Oct 2023
- First submitted
- 7 Sep 2023
- Last updated
- 26 Oct 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 26 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Hydromorphone-ropivacaine Versus Sufentanil-ropivacaine for Epidural Labor Analgesia: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06036797
- Acronym / sponsor ID
- MCHH_003
- Conditions
- Analgesia, Labor Pain
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 240 participants (estimated)
- Lead sponsor
- Maternal and Child Health Hospital of Hubei ProvinceUniversity, hospital or other
- Study start
- 17 Sep 2023 (actual)
- Primary completion
- 17 Oct 2023 (estimated)
- Study completion
- 17 Oct 2023 (estimated)
- First posted
- 14 Sep 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 : Group 1, Group 2, Group 3 and Group 4. For those in Group 1 : they will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 2 : they will be administered with17.5 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine for epidural labor analgesia, For those in Group 4 : they will be administered with 0.4 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 |
|---|---|---|
| Group 1 | Experimental | Drug: Hydromorphone, Drug: RopivacaineGroup 1 will be administered with 15 ug/ml hydromorphone and 0.08% ropivacaine |
| Group 2 | Experimental | Drug: Hydromorphone, Drug: RopivacaineGroup 2 will be administered with 17.5 ug/ml hydromorphone and 0.08% ropivacaine |
| Group 3 | Experimental | Drug: Hydromorphone, Drug: RopivacaineGroup 3 will be administered with 20 ug/ml hydromorphone and 0.08% ropivacaine |
| Group 4 | Active comparator | Drug: Sufentanil, Drug: RopivacaineGroup 4 will be administered with 0.4 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 (3 listed)
- American Society of Anesthesiologists (ASA) physical status II
- a single fetus
- competent to provide informed consent
Key exclusion criteria (3 listed)
- severe respiratory diseases including hypoxemia, respiratory failure and severe pneumonia
- severe circulatory diseases including acute decompensated heart failure and peripartum cardiomyopathy
- placenta previa
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 Group 1 : they will be administered with 15 ug/ml hydromorphone, For those in Group 2 : they will be administered with 17.5 ug/ml hydromorphone, For those in Group 3 : they will be administered with 20 ug/ml hydromorphone | Drug | Group 1, Group 2, Group 3 |
| SufentanilFor those in Group 4 : they will be administered with 0.4 ug/ml sufentanil | Drug | Group 4 |
| Ropivacaine0.08% ropivacaine will be co-administrated for epidural labor analgesia in four arms | Drug | Group 1, Group 2, Group 3, Group 4 |
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: 1 minute and 5 minutes after birth
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 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 3 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 26 Oct 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Na Li, MD (+862763490107, lina@hbfy.com), or a site near the patient. 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 26 Oct 2023.