Impact of Preoperative Opioid-free Multimodal Analgesia on Time to Trial of Void in Ambulatory Urogynecologic Surgeries

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
AgeNot listed
SponsorNorthwell Health

About this trial

This is a double-arm randomized control trial evaluating the impact of preoperative opioid-free analgesia on time to trial of void in ambulatory urogynecologic surgeries. The investigators hypothesize that receipt of acetaminophen, celecoxib and gabapentin preoperatively versus acetaminophen alone will reduce the time to trial of void in patients undergoing same-day minor urogynecologic procedures.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Provision of signed and dated informed consent form

Stated willingness to comply with all study procedures and availability for the duration of the study

All female patients over 18 years of age from the Northwell Health urogynecology offices in Bay Shore, Syosset, and Huntington, NY who are undergoing transvaginal minor urogynecologic surgery (midurethral sling, periurethral bulking injections, anterior repair, posterior repair, and perineorrhaphy) at South Shore Surgery Center

In good general health as evidenced by medical history

Disqualifiers

Pregnancy or lactation

Younger than age 18

Known allergic reactions to acetaminophen, celecoxib or gabapentin or any components within the medication formulation

Patients with Myasthenia Gravis, renal disease with CrCl < 50, seizure disorder, substance use disorder, anaphylaxis and angioedema to gabapentin, Drug reaction with Eosinophilia and Systemic Symptoms (DRESS), driving impairment, increased seizures suicidal behavior and respiratory depression.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Acetaminophen

    Drug

    Will add additional medications celecoxib and gabapentin to acetaminophen preoperatively prior to patient surgery

  • Celecoxib

    Drug

    Will add additional medications celecoxib and gabapentin to acetaminophen preoperatively prior to patient surgery

  • Gabapentin

    Drug

    Will add additional medications celecoxib and gabapentin to acetaminophen preoperatively prior to patient surgery

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Standard of Care (SOC) (acetaminophen)Active comparator 1 intervention
Group B: Standard of Care (SOC) (acetaminophen) and investigational product (celecoxib + gabapentin)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Time to initiation of active trial of void

Time frame
through study completion, an average of 2 years

Secondary outcomes

Other outcomes

Sponsors and contacts

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