ClinicalTrials.gg
CompletedNCT03347409ERASGYNBS001Updated Feb 7, 2020

Validation of an ERAS Protocol in Gynecological Surgery

An interventional study of Changes in preoperative care and Changes in intraoperative care in Surgery, Hysterectomy and Gynecologic Disease, sponsored by Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia. Completed at 1 site in Italy. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-02-07.

Sponsored by Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2017, registered Oct 2017).

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Phase
Not applicable
Study type
Interventional
Enrollment
166
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 11 studies in Genital Diseases, Female with a site in Italy — 6 open to participants now, 6 under way, none of them phase 3. Genital Diseases, Female · Italy.

Started
2017
the only one that year
No phase
3 of 11
2 open now
Registered
4th of 11
by date
Lead sponsor
1 of 11
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia

Among the 11 studies in Genital Diseases, Female with a site in Italy, this one is the only one that started in 2017, is one of 3 with no phase, and was the 4th registered.

Genital Diseases, Female

161 studies on the registry are indexed under Genital Diseases, Female; 31 are open to participants now.

Browse Genital Diseases, Female studies →

Open to participants now

6 of the 11 studies in Genital Diseases, Female with a site in Italy are open now. Recruiting first, the newest first:

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All 6 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 21 Genital Diseases, Female studies recruiting now, 10 (48%) set no upper age limit and 11 (52%) stop at 75 or younger; 3 take children under 18; 4 take healthy volunteers.

This study: 18 Years to 75 Years · female · no healthy volunteers.

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02

Study summary

Validation of ERAS interventional measures in elective gynecological surgery, for benign either malignant pathology.

03

Conditions studied

  • Surgery
  • Hysterectomy
  • Gynecologic Disease
  • Gynecologic Cancer
  • Anesthesia

Keywords

  • ERAS, Fast-track surgery, gynecology
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age >18 and \<75 years old
  • Patients candidated for elective gynecological surgery for benign pathology
  • Patients with diagnosis of gynecological neoplasm and candidated for elective gynecological surgery
  • Signed consent form
  • Performance Status > 70

Exclusion criteria

Exclusion Criteria:

  • > 3
  • to loco-regional anaesthesia
  • Patients with ileus or subocclusive condition prior surgery
  • Coagulation disorders
  • Organ failure or severe disfunction (heart, renal, pulmonary, hepatic)
  • Uncontrolled hypertension (>180/95)
  • Alcohol or drug abuser (current or previous)
  • Unability to self-care (PFS \< 70)
  • Comorbidity-Polypharmacy Score > 22
  • Psychiatric condition or language barriers
  • Planned Intensive Care Recovery
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
166 participants (actual)

Study arms

  • No intervention
    Standard Perioperative (SP) care
  • Experimental
    ERAS protocol

    Other: Changes in preoperative care · Other: Changes in intraoperative care · Other: Changes in postoperative care

Interventions

  • OtherChanges in preoperative care

    Optimization of relevant medical uncontrolled situations, avoid fasting, avoid bowel preparation, avoid premedications, nutritional assessment, stop smoking, stop alcohol and appropriate counselling

  • OtherChanges in intraoperative care

    Blended anesthesia is mostly carried out using Total Intra Venous Anesthesia (TIVA) with loco regional analgesia, in particular Thoracic Epidural Anesthesia (TEA) in open surgery and spinal morphine or Transversus Abdominis Plane (TAP) block or quadratus lumborum block for laparoscopic surgical approach, associated to NSAIDs or acetaminophen; control of deep neuromuscular blocking with Train-of-four (TOF) stimulation avoiding residual paralysis. Multimodal prevention of PONV (according to preoperative assessment of Apfel Score) with a combination of multiple antiemetic drugs.

  • OtherChanges in postoperative care

    Postoperative pain control is obtained with opioid sparing strategies, in order to avoid Post Operative Ileus (POI) and PONV. According to the type of surgery TEA, TAP block , quadratus lumborum block or IT morphine is preferred. Patient is proposed to start drinking clear fluid 4 hours after surgery and to start eating the evening of the surgery, with the introduction of a normal free diet within 24 hours after surgery. It is proposed to chew gum three times daily for at least 15 minutes and eventually to use laxatives to promote a faster bowel function. Early mobilization is started from the evening of surgery.

06

What researchers measure

Primary outcomes

  1. Shorter Length Of Hospitalization (LOH)

    Total amount of days spent in hospital

    Time frame: Up to 4 weeks after surgery

Secondary outcomes

  1. Assessment of postoperative pain

    NRS scale (from 0 to 10, 0 is no pain, 10 is maximum pain)

    Time frame: At moment 0, 3, 6, 12 and 24 hours after surgery

  2. Presence/Absence of nausea

    Time frame: At moment 0, 3, 6, 12 and 24 hours after surgery

  3. Presence/Absence of vomiting

    Time frame: At moment 0, 3, 6, 12 and 24 hours after surgery

  4. Anesthesiological complications

    Rate measurement

    Time frame: Up to 1 weeks after surgery

  5. Time to bowel movement

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  6. Time to flatus

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  7. Time to hunger

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  8. Time to drink

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  9. Time to eating

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  10. Time to walking

    Hours elapsed to event

    Time frame: Up to 4 weeks after surgery

  11. Postoperative complications

    Rate measurement

    Time frame: Up to 9 weeks after surgery

  12. Compliance to ERAS protocol

    Rate measurement

    Time frame: Up to 4 weeks after surgery

  13. Validated questionnaires

    QoR15

    Time frame: Administered 24 hours after surgery and up to 4 weeks after surgery

07

Study locations

1 site
  • Federico Ferrari
    Brescia, BS 25123, Italy
08

References and documents

Publications

  • Chau JPC, Liu X, Lo SHS, Chien WT, Hui SK, Choi KC, Zhao J. Perioperative enhanced recovery programmes for women with gynaecological cancers. Cochrane Database Syst Rev. 2022 Mar 15;3(3):CD008239. doi: 10.1002/14651858.CD008239.pub5. PubMed 35289396 ↗
  • Ferrari F, Forte S, Sbalzer N, Zizioli V, Mauri M, Maggi C, Sartori E, Odicino F. Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study. Am J Obstet Gynecol. 2020 Oct;223(4):543.e1-543.e14. doi: 10.1016/j.ajog.2020.07.003. Epub 2020 Jul 8. PubMed 32652064 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in Jul 2019, 25 months.

Of 55 non-industry interventional studies with no phase under Genital Diseases, Female, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 30. This study's 25 months is above that.

Counting every sponsor, half of 65 studies reached it within 14 months; a quarter within 8 and three quarters within 28.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 27, 2017
First posted
Nov 20, 2017
StartActual
Jun 14, 2017
Primary completionActual
Jul 14, 2019
CompletionActual
Dec 15, 2019
Last update
Feb 7, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 7, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03347409
Lead sponsor
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
Responsible party
Federico Ferrari (MD, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia) — Principal investigator
First posted
Nov 20, 2017
Start date
Jun 14, 2017
Primary completion
Jul 14, 2019
Completion
Dec 15, 2019
Last update
Feb 7, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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