A prospective, randomised, double-blind, placebo-controlled trial to assess the respiratory effects of oxycodone versus morphine in anaesthetised patients

ISRCTN ISRCTN30198912
DOI https://doi.org/10.1186/ISRCTN30198912
Secondary identifying numbers N0205190802
Submission date
28/09/2007
Registration date
28/09/2007
Last edited
18/10/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Vivek Mehta
Scientific

Anaesthetics Laboratory
St Bartholomew's Hospital
West Smithfield
London
EC1A 7BE
United Kingdom

Phone +44 0207601 7524
Email vivek.mehta@bartsandthelondon.nhs.uk

Study information

Study designProspective randomised double-blind placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesTo investigate to what extent modest and pre-defined degrees of respiratory depression may be produced by oxycodone and compare this to patients who receive intravenous morphine or placebo under identical conditions using a previously validated model.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Anaesthesia
InterventionA prospective randomised double-blind placebo-controlled trial.

Oxycodone 0.05mg/kg IV (12 patients), oxycodone 0.1mg/kg IV (12 patients), Oxycodone 0.2mg/kg IV (12 patients), morphine 0.1mg/kg IV (12 patients), or placebo - normal saline (6 patients)
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)oxycodone versus morphine
Primary outcome measureThe extent to which oxycodone produces respiratory depression and compare this to morphine and placebo.
The primary endpoint is time to respiratory depression, defined as respiratory rate decreased by ≥33% and or end-tidal CO² increased by ≥1.5kPa.
Secondary outcome measuresTo evaluate the extent of reversibility of any such respiratory depression by the administration of naloxone.
The principle secondary endpoint is the amount of naloxone required to reverse respiratory depression effects.
Overall study start date13/12/2006
Completion date12/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit55 Years
SexNot Specified
Target number of participants60
Key inclusion criteria1. Patients aged 18-55 years
2. Patients who are ASA 1-2
3. Patients must be inpatients
4. Patients who are due to undergo surgery of greater than 30 minutes duration under GA
5. Patient has given written informed consent
6. Patient weighs between 45 and 100kg, and/or BMI ≥30
Key exclusion criteria1. Patients who are allergic to oxycodone, naloxone or morphine
2. Patients with a history of substance abuse
3. Patients with a history of anaesthetic complications
4. Patients who have been on long-term opioid therapy, or have taken strong opioids within the last two weeks
5. Patients who are considered unsuitable by the responsible anaesthetist - for whom the required lengthening of the anaesthesia time is deemed to constitute an unacceptable increased risk
6. Patients who are involved in existing research
7. Patients who have any condition predisposing to respiratory depression
Date of first enrolment13/12/2006
Date of final enrolment12/12/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Anaesthetics Laboratory
London
EC1A 7BE
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

Barts and The London NHS Trust

No information available

NHS R&D Support Funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/10/2010 Yes No