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TerminatedNCT02277782LITHUpdated Mar 18, 2022

Intrathecal Hydromorphone for Labor Analgesia

An interventional study of Hydromorphone and Hyperbaric bupivacaine in Pregnancy, sponsored by Brigham and Women's Hospital. Terminated at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2022-03-18.

Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Prevention

Why this study was terminated
Study drug shortage, COVID related suspension of recruitment
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The objective of this study is to evaluate the effect of intrathecal hydromorphone on the duration of labor analgesia and the incidence of epidural-associated temperature increase in laboring parturients. We hypothesize that intrathecal administration of longer-acting hydromorphone will:

  1. Prolong the duration and improve the quality of analgesia in labor, and
  2. Decrease the incidence of epidural-associated temperature increase in labor.
02

Conditions studied

  • Pregnancy

Keywords

  • Labor
  • Analgesia
03

In context

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Patients are eligible for enrollment if they are healthy, pregnant females between the ages of 18 and 45 years, primiparous, and at term gestation (≥ 37 weeks).

Exclusion criteria

Exclusion Criteria:

  • Patients with a Category II or III fetal heart rate tracing, a fetus with intrauterine growth restriction, prolonged rupture of membranes, recent diagnosis of infection of any cause, or in whom dural puncture is contraindicated will be excluded from the study.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
21 participants (actual)

Study arms

  • Active comparator
    No Hydromorphone

    1.7 mg bupivacaine + 17 mcg fentanyl + 0.05 ml of 0.9% normal saline.

    Drug: Hyperbaric bupivacaine · Drug: Fentanyl

  • Experimental
    Hydromorphone

    1.7 mg bupivacaine + 17 mcg fentanyl + 50 mcg preservative-free hydromorphone (0.05 ml)

    Drug: Hydromorphone · Drug: Hyperbaric bupivacaine · Drug: Fentanyl

Interventions

  • DrugHydromorphone

    Also known as: Dilaudid

  • DrugHyperbaric bupivacaine
  • DrugFentanyl
06

What researchers measure

Primary outcomes

  1. Effect on maternal temperature during labor

    The primary outcome measure will be the incidence of maternal temperature increase, defined as an increase in maternal temperature by 1 degree celsius over the baseline temperature recorded prior to the onset of epidural analgesia.

    Time frame: 2 years

Secondary outcomes

  1. Effect on efficacy of labor analgesia

    The secondary outcome measure will be the duration of intrathecal analgesia. Additional outcome measures include the quality of analgesia as recorded by the Visual Analogue Scale score and the need for additional top-ups within 90 min of epidural placement.

    Time frame: 2 years

07

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02277782
Lead sponsor
Brigham and Women's Hospital
Responsible party
Dominique Arce (Instructor of Anaesthesia, Brigham and Women's Hospital) — Principal investigator
First posted
Oct 29, 2014
Start date
Sep 1, 2015
Primary completion
Dec 31, 2019
Completion
Dec 31, 2019
Last update
Mar 18, 2022

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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