Clinical trial • Phase IV • Other

MAGNESIUM SULFATE for Postoperative pain

Phase IV trial of MAGNESIUM SULFATE for Postoperative pain.

Overview

Trial Therapeutic Area
Other
Trial Disease
Postoperative pain
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
27-11-2024
First CTIS Authorization Date
17-03-2025

Trial design

Randomised, control: 100 ml natriumchloride (sodium chloride) 0.9% given intravenously over 30 minutes. Phase IV trial across 1 site in Sweden.

Randomised
Yes
Comparator
Control: 100 ml natriumchloride (sodium chloride) 0.9% given intravenously over 30 minutes.
Target Sample Size
150
Trial Duration For Participant
90

Eligibility

Recruits 150 Vulnerable population: pregnant/newly delivered women are the target population; participants must be adults (≥18) and able to understand information in Swedish. Informed consent must be provided by the participant (no assent or surrogate consent procedures are described)..

Vulnerable Population
Vulnerable population: pregnant/newly delivered women are the target population; participants must be adults (≥18) and able to understand information in Swedish. Informed consent must be provided by the participant (no assent or surrogate consent procedures are described).

Inclusion criteria

  • {"criterion_text":"- Adult over age 18."}
  • {"criterion_text":"- Cesarean section under spinal anesthesia."}
  • {"criterion_text":"- Participant should be able to accomodate information in Swedish"}

Exclusion criteria

  • {"criterion_text":"- Cronic kidney desease stadium 3 or above."}
  • {"criterion_text":"- Not Swedish speaking."}
  • {"criterion_text":"- Contraindication towards spinal anesthesia."}
  • {"criterion_text":"- General anesthesia"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Acute postoperative pain within 6 hours","definition_or_measurement_approach":"Acute postoperativ smärta (NRS). Högst smärtintensitet inom 6 timmar postoperativt jämförs mellan grupperna."}

Secondary endpoints

  • {"endpoint_text":"- Acute postoperative pain after 14 days, in both rest and movement.","definition_or_measurement_approach":"Akut postoperativ smärta (NRS). Högst smärtintensitet de senaste 24 timmarna, i vila och rörelse, 14 dagar postoperativt."}
  • {"endpoint_text":"- Acute postoperative pain after 24 hours, in both rest and movement","definition_or_measurement_approach":"Akut postoperativ smärta (NRS). Högst smärtintensitet, i vila och rörelse, de första 24 timmar postoperativt jämförs mellan grupperna."}
  • {"endpoint_text":"- Persistent postoperative pain after 3 months in both rest and movement.","definition_or_measurement_approach":"Persisterande postoperativ smärta (NRS). Högst smärtintensitet de senaste 24 timmarna, i vila och rörelse, 3 månader postoperativt"}
  • {"endpoint_text":"- Early recovery after 24 hours","definition_or_measurement_approach":"Tidig återhämtning (Quality of Recovery, 15 item). Totalpoäng de första 24 timmarna postoperativt jämförs mellan grupperna."}
  • {"endpoint_text":"- Early recovery after 14 days.","definition_or_measurement_approach":"Tidig återhämtning (Quality of Recovery, 15 item). Totalpoäng efter 14 dagar, postoperativt jämförs mellan grupperna"}
  • {"endpoint_text":"- Opioidconsumption. Total opioid dose in intravenous morphine milligram equivalents after 24 hours.","definition_or_measurement_approach":"Opioidkonsumption (intravenöpsa morfinekvivalenter). Total mängd intravenösa morfinekvivalenter i milligram under de första 24 timmarna jämförs mellan grupper."}
  • {"endpoint_text":"- Postoperative nausea and vomiting. Highest intensity after 24 hours.","definition_or_measurement_approach":"Opioidkonsumption (intravenöpsa morfinekvivalenter). Total mängd intravenösa morfinekvivalenter i milligram under de första 24 timmarna jämförs mellan grupperna."}
  • {"endpoint_text":"- Self-evaluated quality of breastfeeding and fetal connection. Highest score between 0 and 10 is compared between groups after 24 hours.","definition_or_measurement_approach":"Självskattad amningskvalité respektive anknytning (NRS). Maxpoäng avseende självskattad amningskvalité respektive anknytning till det nyfödda barnet de första 24 timmarna jämförs mellan grupperna."}
  • {"endpoint_text":"- Self-evaluated quality of breastfeeding and fetal connection. Highest score between 0 and 10 is compared between groups after 14 days.","definition_or_measurement_approach":"Självskattad amningskvalité respektive anknytning (NRS). Maxpoäng avseende självskattad amningskvalité respektive anknytning till det nyfödda barnet efter 14 dagar, jämförs mellan grupperna."}

Recruitment

Planned Sample Size
150
Recruitment Window Months
18
Consent Approach
Informed consent must be provided by the adult participant (≥18). Participants must be able to understand information in Swedish. A Subject information and informed consent form document is listed (Information till forsoksperson MAG-PAIN). No assent or surrogate consent procedures are described.

Geography

Total Number Of Sites
1
Total Number Of Participants
150

Sweden

Earliest CTIS Part Ii Submission Date
01-03-2025
Latest Decision Or Authorization Date
17-03-2025
Processing Time Days
16
Number Of Sites
1
Number Of Participants
150

Sites

Site Name
Region Halland
Department Name
Anesthesia and Intensive care
Contact Person Name
Anna Persson

Sponsor

Primary sponsor

Full Name
Region Halland
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
MAGNESIUM SULFATE
Active Substance
MAGNESIUM SULFATE
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Starting Dose
20 mmol in 100 ml sodium chloride 0.9% given intravenously over 30 minutes
Dose Levels
20 mmol
Frequency
Single perioperative IV infusion
Maximum Dose
20 mmol
Investigational Product Name
Sodium chloride 0.9% (solvent control)
Active Substance
Sodium chloride
Modality
Small molecule
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Starting Dose
100 ml sodium chloride 0.9% given intravenously over 30 minutes
Dose Levels
100 ml
Frequency
Single perioperative IV infusion
Maximum Dose
100 ml

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