Protocol summary

Study aim
Effect of preoperative duloxetine administration on decreasing VAS score of women undergoing total abdominal hysterectomy post operatively compared to control group at Moheb Yas hospital in Tehran
Design
This study will be a double-blind randomized clinical trial and patient will randomly divided into control and duloxetine receiving groups,The sample size was 50 individuals based on analysis of variance of repeated measures, with 25 individuals in each group.
Settings and conduct
It's a double blind randomized clinical trial (patient and anesthesiologist Will be unaware of the type of medication received)it will performed at Moheb Yas Hospital in Tehran,women's candidates for abdominal hysterectomy with inclusion criteria will divide randomly into two groups of duloxetine recipients 2 hours before surgery and the control group who will receive placebo.they undergo general anesthesia, and at the end of the operation, patients with a VAS score greater than 4 receive 2 mg morphine sulfate and then will record PONV and the first time they need the drug and the total amount of the drug received within the first 24 hours after surgery
Participants/Inclusion and exclusion criteria
All 30-60 year old women with ASA class 1-2 who underwent elective abdominal hysterectomy at Tehran Moheb Yas Hospital within the study time and are willing to participate in this study Those who are allergic to the drug, or have a surgery longer than 3 hours, have a diagnosis of cancer after surgery or discover any other pelvic pathology in operation, need additional surgery, or any technique than pfannenstiel incision will excluded from the study
Intervention groups
Case who will receiving duloxetine 60 mg 2 hours before surgery and control group who will receiving placebo two hours before surgery
Main outcome variables
In need of analgesia,pain intensity, type of drug used, nausea, vomiting

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20120624010102N2
Registration date: 2019-12-10, 1398/09/19
Registration timing: prospective

Last update: 2019-12-10, 1398/09/19
Update count: 0
Registration date
2019-12-10, 1398/09/19
Registrant information
Name
Ehsan Bastan hagh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 4204 6310
Email address
drbastanhagh@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-01-20, 1398/10/30
Expected recruitment end date
2020-08-18, 1399/05/28
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effect of Duloxetine administeration on postoperative pain after abdominal hysterectomy compared to the placebo
Public title
effect of duloxetine on post operative pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Female age 35-65 Elective total abdominal hysterectomy ASA class 1 & 2
Exclusion criteria:
patient refusal Any alergic history with Duloxetine or other SNRIs surgery longer than 3 hours Postoperative cancer diagnosis or any other pelvic pathology during the operation Need additional surgery Any other incision than Pfannenstiel
Age
From 35 years old to 65 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 76
Randomization (investigator's opinion)
Randomized
Randomization description
Patients were randomly allocated to 2 groups using balanced block randomization
Blinding (investigator's opinion)
Double blinded
Blinding description
The study medications are prepared by an anesthesiologist who does not otherwise participated in the study and then enveloped and sealed and patient's code are recorded on it.The enveloped will open 2 hours before induction by an anesthesiologist who is blinded to patient's study group and type of solution.All of the nurses and patient's are blinded to the type of solution and to the patient's study group allocation.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Tehran University of Medical Sciences
Street address
5th flour, Corner of ghods St, Keshavarz Blv.
City
Tehran
Province
Tehran
Postal code
۱۴۱۷۴۱۴۴۱۸
Approval date
2018-07-23, 1397/05/01
Ethics committee reference number
IR.TUMS.MEDICINE.REC.1397.286

Health conditions studied

1

Description of health condition studied
control of acute post operative pain
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
pain
Timepoint
30 min ,1 , 2 , 6 ,12 hours after surgery
Method of measurement
VAS score

Secondary outcomes

1

Description
Nausea and vomiting
Timepoint
0 to 12 hours postoperative
Method of measurement
Asking

Intervention groups

1

Description
Intervention group: Oral duloxetine capsule 60 mg (Kharazmi Pharmacy) 2 hours before surgery(SNRI)
Category
Treatment - Drugs

2

Description
Control group: Placebo 2 hours before surgery
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Yas hopital
Full name of responsible person
Fahime Zamiri
Street address
Karim Khan Zand Street, End of North Ostad NejatolahiStreet
City
Tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8899 5767
Fax
+98 21 8894 8217
Email
fahimezamiri139431@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Fahime Zamiri
Street address
karim Khan zand street,End of north ostad Nejatolahi
City
Tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8899 5767
Fax
+98 21 8894 8217
Email
fahimezamiri139431@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Fahime Zamiri
Position
Resident of anesthesiology
Latest degree
Medical doctor
Other areas of specialty/work
Anesthesiology
Street address
Karim Khan Street End of North Ostad Nejatolahi Street
City
Tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8899 5767
Email
fahimezamiri139431@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Fahime Zamiri
Position
Resident of Anesthesiology
Latest degree
Medical doctor
Other areas of specialty/work
Anesthesiology
Street address
Yas hospital,Karim khan zand street
City
Tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8899 5767
Email
fahimezamiri139431@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Fahime Zamiri
Position
resident of anestesiology
Latest degree
Medical doctor
Other areas of specialty/work
Anesthesiology
Street address
Yas hospital Karimkhan zand sreet
City
Tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8899 5767
Email
fahimezamiri139431@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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