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CompletedNCT02359110GabapentinUpdated Mar 12, 2018Results posted

Administration of Pre-Operative Gabapentin to Patients Undergoing Laparoscopy

A Phase 4 interventional study of Gabapentin and Placebo in Postoperative Pain, sponsored by Milton S. Hershey Medical Center. Completed at 1 site in United States. Open to female participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-03-12.

Sponsored by Milton S. Hershey Medical Center · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
112
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Female
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Study summary

The purpose of this study is to prospectively determine the influence of immediate pre-operative gabapentin administration on acute postoperative pain. The investigators hypothesize that immediate post-operative pain will be improved with pre-operative administration of gabapentin.

Read the detailed description

The purpose of this study is to prospectively determine the influence of immediate pre-operative gabapentin administration on acute postoperative pain. We hypothesize that immediate post-operative pain will be improved with pre-operative administration of gabapentin.

We plan to conduct a prospective randomized trial to assess the effect of a single immediate pre-operative dose of gabapentin 300mg on immediate post-operative pain in patients undergoing laparoscopy for gynecologic indications. This concept has been studied in patients undergoing abdominal hysterectomy. We aim to study the effect on patients undergoing laparoscopy.

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Conditions studied

  • Postoperative Pain

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Keywords

  • laparoscopy
  • postoperative pain
  • gynecology
  • gabapentin
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In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,137 are open to participants now.

This study's enrollment of 112 is above the median of 75 across 4,341 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Milton S. Hershey Medical Center is the lead sponsor of 480 studies on the registry; 61 are open to participants now.

Of its 56 completed or terminated interventional studies of FDA-regulated products, 42 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. The patient must be female and planning to have a laparoscopic or robotic assisted procedure for benign gynecologic indications.
  2. Patients must be treated in the department of Obstetrics and Gynecology in the division of Minimally Invasive Gynecologic Surgery.
  3. The patient must be in the age range of 18-80 years, in general good health and able to comply with study procedures.

Exclusion criteria

Exclusion Criteria:

  1. Male patients will be excluded from this study.
  2. Patients under 18 years old will be excluded from this study.
  3. Pregnant patients. All patients will have a routine pre-operative urine HCG to exclude pregnancy.
  4. Patients having abdominal, vaginal or hysteroscopic procedures
  5. Allergy to gabapentin
  6. Chronic use of gabapentin (greater than 6 months)
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
112 participants (actual)

Study arms

  • Experimental
    Drug 1

    Patients will receive Gabapentin 300mg tab less than 1 hour before surgery.

    Drug: Gabapentin

  • Placebo comparator
    Drug 2

    Patients will receive Methylcellulose based placebo tab less than 1 hour before surgery.

    Other: Placebo

Interventions

  • DrugGabapentin

    Patients will receive Gabapentin 300mg tab less than 1 hour before surgery.

    Also known as: Neurontin, 78309289

  • OtherPlacebo

    Patient will receive placebo tab less than 1 hour before surgery

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What researchers measure

Primary outcomes

  1. NRS (Numerical Rating Scale)

    The NRS is a numerical scale ranging from 0-10 implemented with adults. Having no pain is rated as a 0 and the worst pain the patient could tolerate is rated as a 10.

    Time frame: 2-8 hours

Secondary outcomes

  1. VAS (Visual Analog Scale)

    The VAS is scored using a horizontal line 100mm in length. The scale is anchored by "no pain" (score of 0) and "worst pain" (score of 100).

    Time frame: 2 -6 hours

  2. Total Morphine Consumption

    Time frame: 12 hours post-operatively

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Results

Posted Mar 12, 2018

Participant flow

A total of 125 patients consented to the study, but 13 did not undergo surgery or rescheduled.

Participant flow — Overall Study
MilestoneGabapentinPlacebo
Started5554
Completed5554
Not completed00

Outcome measures

PrimaryNRS (Numerical Rating Scale)

The NRS is a numerical scale ranging from 0-10 implemented with adults. Having no pain is rated as a 0 and the worst pain the patient could tolerate is rated as a 10.

Time frame:
2-8 hours
Reported as:
Least squares mean · units on a scale
NRS (Numerical Rating Scale)
units on a scaleGabapentinPlacebo
Hour 23.5 (2.6 to 4.5)3.4 (2.5 to 4.4)
Hour 45.4 (4.3 to 6.5)5.5 (4.3 to 6.7)
Hour 65.3 (4.2 to 6.5)5.8 (4.4 to 7.1)
Hour 85.7 (4.3 to 7.2)5.1 (3.4 to 6.8)
Statistical analysis
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.89 · Mean difference (final values): 0.1 · 95% CI -1.2 to 1.3
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.94 · Mean difference (final values): -0.1 · 95% CI -1.6 to 1.5
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.64 · Mean difference (final values): -0.4 · 95% CI -2.2 to 1.3
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.59 · Mean difference (final values): 0.6 · 95% CI -1.6 to 2.8
SecondaryVAS (Visual Analog Scale)

The VAS is scored using a horizontal line 100mm in length. The scale is anchored by "no pain" (score of 0) and "worst pain" (score of 100).

Time frame:
2 -6 hours
Reported as:
Least squares mean · units on a scale
VAS (Visual Analog Scale)
units on a scaleGabapentinPlacebo
Hour 237.8 (28.9 to 46.6)33.9 (25.3 to 42.6)
Hour 638.7 (28.6 to 48.7)36.9 (26.9 to 46.9)
Statistical analysis
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.52 · Mean difference (final values): 3.8 · 95% CI -8.1 to 15.8
  • Gabapentin vs Placebo · Mixed Models Analysis · p = 0.80 · Mean difference (final values): 1.7 · 95% CI -11.9 to 15.3
SecondaryTotal Morphine Consumption
Time frame:
12 hours post-operatively
Reported as:
Mean · mg
Total Morphine Consumption
mgGabapentinPlacebo
Total Morphine Consumption14.3 ± 12.614.7 ± 12.3
Statistical analysis
  • Gabapentin vs Placebo · t-test, 2 sided · p = 0.88

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Gabapentin0/55 (0%)0/55 (0%)0/55 (0%)
Placebo0/54 (0%)0/54 (0%)0/54 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)GabapentinPlaceboTotal
Mean40.4 ± 9.839.5 ± 9.439.9 ± 9.5
Sex: Female, Male
Sex: Female, Male(Participants)GabapentinPlaceboTotal
Female5554109
Male000
BMI
BMI(kg/m2)GabapentinPlaceboTotal
Mean29.5 ± 7.230.0 ± 7.729.8 ± 7.4
08

Study locations

1 site
  • Penn State Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
09

References and documents

Publications

  • Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, Spiegel G, Barakat R, Pearl ML, Sharma SK. Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2. J Clin Oncol. 2009 Nov 10;27(32):5331-6. doi: 10.1200/JCO.2009.22.3248. Epub 2009 Oct 5. PubMed 19805679 ↗
  • Manwaring JM, Readman E, Maher PJ. The effect of heated humidified carbon dioxide on postoperative pain, core temperature, and recovery times in patients having laparoscopic surgery: a randomized controlled trial. J Minim Invasive Gynecol. 2008 Mar-Apr;15(2):161-5. doi: 10.1016/j.jmig.2007.09.007. PubMed 18312984 ↗
  • Ott DE, Reich H, Love B, McCorvey R, Toledo A, Liu CY, Syed R, Kumar K. Reduction of laparoscopic-induced hypothermia, postoperative pain and recovery room length of stay by pre-conditioning gas with the Insuflow device: a prospective randomized controlled multi-center study. JSLS. 1998 Oct-Dec;2(4):321-9. PubMed 10036122 ↗
  • Sills GJ. The mechanisms of action of gabapentin and pregabalin. Curr Opin Pharmacol. 2006 Feb;6(1):108-13. doi: 10.1016/j.coph.2005.11.003. Epub 2005 Dec 22. PubMed 16376147 ↗
  • Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract. 2003 Dec;3(4):310-6. doi: 10.1111/j.1530-7085.2003.03034.x. PubMed 17166126 ↗
  • Clarke H, Bonin RP, Orser BA, Englesakis M, Wijeysundera DN, Katz J. The prevention of chronic postsurgical pain using gabapentin and pregabalin: a combined systematic review and meta-analysis. Anesth Analg. 2012 Aug;115(2):428-42. doi: 10.1213/ANE.0b013e318249d36e. Epub 2012 Mar 13. PubMed 22415535 ↗
  • Alayed N, Alghanaim N, Tan X, Tulandi T. Preemptive use of gabapentin in abdominal hysterectomy: a systematic review and meta-analysis. Obstet Gynecol. 2014 Jun;123(6):1221-1229. doi: 10.1097/AOG.0000000000000289. PubMed 24807337 ↗
  • Alkhamesi NA, Peck DH, Lomax D, Darzi AW. Intraperitoneal aerosolization of bupivacaine reduces postoperative pain in laparoscopic surgery: a randomized prospective controlled double-blinded clinical trial. Surg Endosc. 2007 Apr;21(4):602-6. doi: 10.1007/s00464-006-9087-6. Epub 2006 Dec 16. PubMed 17180268 ↗
  • Nutthachote P, Sirayapiwat P, Wisawasukmongchol W, Charuluxananan S. A randomized, double-blind, placebo-controlled trial of oral pregabalin for relief of shoulder pain after laparoscopic gynecologic surgery. J Minim Invasive Gynecol. 2014 Jul-Aug;21(4):669-73. doi: 10.1016/j.jmig.2014.01.018. Epub 2014 Jan 25. PubMed 24473153 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02359110
Lead sponsor
Milton S. Hershey Medical Center
Responsible party
Timothy A Deimling (Principal Investigator; Minimally Invasive Gyn Surgery Fellow, Milton S. Hershey Medical Center) — Principal investigator
First posted
Feb 9, 2015
Start date
Jun 2015
Primary completion
Jan 2017
Completion
Jan 2017
Results posted
Mar 12, 2018
Last update
Mar 12, 2018

Oversight

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

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