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Trial · Interventional

TerminatedPhase 2Results postedRegistry data

Efficacy of Intrathecal Oxytocin to Speed Recovery After Hip Surgery

Overview

Status
Terminated
Phase
Phase 2
Enrollment
126 participants (actual)
Sponsor
Wake Forest University Health Sciences · Other
Design
Randomized · Triple masking
Countries
1 country

United States

Start
12 Jan 2017
Primary completion
23 Oct 2020
Completion
11 Aug 2021
First posted
5 Jan 2017 (estimated)
Last update posted
23 Nov 2022
Conditions
Postoperative Pain

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201720182019202020212022
  1. Ph 2

    Efficacy of Intrathecal Oxytocin to Speed Recovery After Hip Surgery

    NCT03011307

    12 Jan 2017 to 11 Aug 2021

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The purpose of this study is to determine the effect of intrathecal oxytocin on speed of reduction in pain for the first 60 days after hip surgery.

Interventions

  • OxytocinDrug
  • PlaceboDrug

Arms2

  • Experimental

    Oxytocin

    Oxytocin 100 micrograms administered intrathecally

  • Placebo comparator

    Placebos

    Placebo injection administered intrathecally

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Comparison of Adjusted Trajectory Model for Pain Between Oxytocin and Placebo--Intercept

    Time frame · The first day after hospital discharge

    Registry description

    Daily pain intensity report for each subject was fitted using growth curve model with parameters of intercept (modeled initial pain) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. The daily pain intensity was the WORST pain (not the average pain) in the past 24 hr on a scale where 0 is no pain and 10 is worst imaginable pain. Values represent an intercept of modeled worst daily pain on the first day after hospital discharge across all participants, extracted from the mixed effect model. The intercept is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

  2. Comparison of Adjusted Trajectory Model for Pain Between Oxytocin and Placebo--Slope

    Time frame · Postoperative Day 1 through Postoperative Day 60

    Registry description

    Daily pain intensity report for each subject was fitted using growth curve model with parameters of intercept (modeled initial pain) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. The daily pain intensity was the WORST pain in the past 24 hr on a scale where 0 is no pain and 10 is worst imaginable pain. Slope is defined as change in pain . Values represent the slope of modeled worst daily pain (0-10 scale as described above) divided by the natural log of time (days) across all participants, extracted from the mixed effect model. The slope is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

Secondary outcomes(9)
  1. Comparison of Adjusted Trajectory Model for Daily Steps Between Oxytocin and Placebo--Intercept

    Time frame · The first day after hospital discharge

    Registry description

    Daily steps for each subject were fitted using growth curve model with parameters of intercept (modeled initial steps) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. This is considered as the modeled change in activity listed in the protocol. Values represent an intercept of modeled daily steps on the first day after hospital discharge across all participants, extracted from the mixed effect model. The intercept is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

  2. Comparison of Adjusted Trajectory Model for Daily Steps Between Oxytocin and Placebo--Slope

    Time frame · Postoperative Day 1 through Postoperative Day 60

    Registry description

    Daily steps for each subject were fitted using growth curve model with parameters of intercept (modeled initial steps) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. This is considered as the modeled change in activity listed in the protocol. Values represent the slope of daily steps divided by the natural log of time (days) across all participants, extracted from the mixed effect model. The slope is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

  3. Comparison of Adjusted Trajectory Model for World Health Organization Disability Assessment Score 2.0 Value Between Oxytocin and Placebo--Intercept

    Time frame · Modeled WHODAS 2.0 one week after hospital discharge

    Registry description

    Weekly World Health Organization Disability Assessment Score 2.0 (WHODAS 2.0) value for each subject was fitted using growth curve model with parameters of intercept (modeled initial score) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. Scale is 12 to 36 with higher scores meaning greater disability. Values represent an intercept of modeled WHODAS 2.0 score one week after hospital discharge across all participants, extracted from the mixed effect model. The intercept is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

  4. Comparison of Adjusted Trajectory Model for World Health Organization Disability Assessment Score 2.0 Value Between Oxytocin and Placebo--Slope

    Time frame · Postoperative Day 7 through Postoperative Day 56

    Registry description

    Weekly World Health Organization Disability Assessment Score 2.0 (WHODAS 2.0) value for each subject was fitted using growth curve model with parameters of intercept (modeled initial score) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. Scale is 12 to 36 with higher scores meaning greater disability. Values represent the slope of WHODAS 2.0 score divided by the natural log of time (days) across all participants, extracted from the mixed effect model. The slope is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model.

  5. Comparison of Adjusted Trajectory Model for Probability of Taking Opioids Daily Between Oxytocin and Placebo--Intercept

    Time frame · The first day after hospital discharge

    Registry description

    Daily probability of taking opioids for each subject was fitted using growth curve model with parameters of intercept (modeled initial pain) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. Values represent an intercept of modeled probability of taking opioid, on a 0-1 probability scale, on the first day after hospital discharge across all participants, extracted from the mixed effect model. The intercept is a number representative of all participants in the Arm and is an estimate with standard deviation based on the model.

  6. Comparison of Adjusted Trajectory Model for Probability of Taking Opioids Daily Between Oxytocin and Placebo--Slope

    Time frame · Postoperative Day 1 through Postoperative Day 60

    Registry description

    Daily probability of taking opioids for each subject was fitted using growth curve model with parameters of intercept (modeled initial pain) and slope of change in natural log of time, adjusted for prognostic predictors for oxytocin and placebo group separately. Values represent the slope of daily probability of taking opioids divided by the natural log of time (days) across all participants, extracted from the mixed effect model. The slope is a number representative of all participants in the Arm and is an estimate with confidence limits based on the model

  7. Iowa Gambling Task

    Time frame · Preoperative, 2 months after surgery

    Registry description

    This is a computer based card game which assesses risk taking and impulsivity in which a score of -100 to 100 is calculated. Lower numbers indicate greater impulsiivity

  8. Wisconsin Card Sort Task

    Time frame · Preoperative, 2 months after surgery

    Registry description

    This is a physical card sorting game which measures attention to shifts in implicit rules as the game progresses. Perseverative errors are the number of sequential errors when rules of the game shift and reflect dysfunction of attention. This score ranges from 0 to 64 with larger numbers reflecting more dysfunction of attention.

  9. Tampa Scale of Kinesiophobia

    Time frame · Preoperative, 2 months after surgery

    Registry description

    This 17-question scale assesses the degree of fear of pain from joint movement and is commonly used in orthopedic injury or surgery studies. The scale ranges from 17 to 68 with 17 indicating no fear of movement and 68 indicating severe fear.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· The first day after hospital discharge

Comparison of Adjusted Trajectory Model for Pain Between Oxytocin and Placebo--Intercept

GroupValue (score on a scale)
Oxytocin8.5
Placebo8.6
Primary outcomeNumber· Postoperative Day 1 through Postoperative Day 60

Comparison of Adjusted Trajectory Model for Pain Between Oxytocin and Placebo--Slope

GroupValue (Score on a scale)
Oxytocin-1.9
Placebo-2
Secondary and other outcome results(6)
Secondary outcomeNumber· The first day after hospital discharge

Comparison of Adjusted Trajectory Model for Daily Steps Between Oxytocin and Placebo--Intercept

GroupValue (Daily Steps)
Oxytocin144
Placebo546
Secondary outcomeNumber· Postoperative Day 1 through Postoperative Day 60

Comparison of Adjusted Trajectory Model for Daily Steps Between Oxytocin and Placebo--Slope

GroupValue (Daily steps)
Oxytocin562
Placebo218
Secondary outcomeNumber· Modeled WHODAS 2.0 one week after hospital discharge

Comparison of Adjusted Trajectory Model for World Health Organization Disability Assessment Score 2.0 Value Between Oxytocin and Placebo--Intercept

GroupValue (score on a scale)
Oxytocin23.2
Placebo29.1
Secondary outcomeNumber· Postoperative Day 7 through Postoperative Day 56

Comparison of Adjusted Trajectory Model for World Health Organization Disability Assessment Score 2.0 Value Between Oxytocin and Placebo--Slope

GroupValue (Score on a scale/ln(days))
Oxytocin-7.1
Placebo-5.6
Secondary outcomeNumber· The first day after hospital discharge

Comparison of Adjusted Trajectory Model for Probability of Taking Opioids Daily Between Oxytocin and Placebo--Intercept

GroupValue (Probability of taking opioids)
Oxytocin0.9995
Placebo0.9998
Secondary outcomeNumber· Postoperative Day 1 through Postoperative Day 60

Comparison of Adjusted Trajectory Model for Probability of Taking Opioids Daily Between Oxytocin and Placebo--Slope

GroupValue (Probability of taking opioids/ln(days))
Oxytocin-0.953
Placebo-0.787

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
OxytocinOxytocin 100 micrograms administered intrathecally Oxytocin: spinal injection of oxytocin0 / 440 / 440 / 44
PlaceboPlacebo injection administered intrathecally Placebos: spinal injection of placebo0 / 460 / 460 / 46

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 80 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Scheduled for unilateral, primary total hip replacement * American Society of Anesthesiologists physical status 1-3 Exclusion Criteria: * Pregnancy * Currently Workman's Comp litigation related to hip replacement * Taking greater than 100 milligrams of morphine (or equivalent) * Suffering from a psychotic disorder or a recent psychiatric hospitalization

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