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CompletedNCT03393702Updated Sep 8, 2021

Pain Control in Children and Adolescent After Thoracic Surgery: The Effect of Gabapentin

A Phase 4 interventional study of Gabapentin and Placebo in Pain, Postoperative and Surgery, Thoracic, sponsored by National Institute for Tuberculosis and Lung Diseases, Poland. Completed at 1 site in Poland. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2021-09-08.

Sponsored by National Institute for Tuberculosis and Lung Diseases, Poland · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled May 2017, registered Dec 2017).
Phase
Phase 4
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
5 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 60 studies testing gabapentin in Pain, Postoperative — 8 open to participants now, 10 under way, 3 of them phase 3. Gabapentin · Pain, Postoperative.

Enrollment
17th of 60
104 · median 66
Started
2017
with 3 others
Phase 4
25 of 60
5 open now
Registered
33rd of 60
by date

Among the 60 studies testing gabapentin in Pain, Postoperative, this one is the 17th largest by enrollment, is one of 4 that started in 2017, is one of 25 in phase 4, and was the 33rd registered.

By phase

60 studies; the count open now beside each. This study's row is marked.

Phase 4this study25 · 5 open
No phase16 · 1 open
Phase 39 · 0 open
Phase 14 · 0 open
Phase 2/34 · 2 open
Phase 1/21 · 0 open
Phase 21 · 0 open

By the year they started

First in 2005; this study’s year is marked. 4 started in 2017.

Size and results

Median enrollment 66 across the 60 interventional studies. Of the 43 that completed or were terminated, 19 (44%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 60 studies testing gabapentin in Pain, Postoperative, or all of them as a file.
02

Study summary

The study is performed in patients aged 5-18 years after thoracic surgery. The primary aim of this trial is to determine whether the use of gabapentin as a component of multimodal analgesic regiments reduces pain scores following thoracic surgery in pediatric patients. The secondary objective of the trial are to evaluate whether the use of gabapentin reduces postoperative anxiety scores and consumption of ropivacaine with fentanyl, decreases side-effects, and improves patient satisfaction.

Read the detailed description

The subjects are randomized to the Gabapentin or Placebo group. All patients receive preoperative gabapentin (15 mg/kg, treatment) or placebo, respectively and after surgery either gabapentin (7,5 mg/kg, treatment) or placebo 2 times per day for 3 days, respectively.

Patients are subjected to the same anaesthesia protocol. Postoperative analgesia are achieved with either continuous ropivacaine 0.2%/fentanyl 5.0 μg/ml infusion through a thoracic epidural catheter (N=40; Gabapentin n=20, Placebo n=20), or intravenous infusion of morphine (N=40; Gabapentin n=20, Placebo n=20). All patients receive acetaminophen and non-steroidal anti-inflammatory drugs, and metamizol as a "rescue drug"

The intravenous infusion of morphine grup was expanded on the basis of the bioethics commission's decision KB-125/2019 (N=64; Gabapentin n=32, Placebo n=32).

03

Conditions studied

  • Pain, Postoperative
  • Surgery, Thoracic

Keywords

  • Postoperative pain
  • Anxiety
  • Postoperative Complications
  • Patient Satisfaction
04

Who can participate

Ages eligible
5 Years to 18 Years
Sexes eligible
All
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

  • 5 - 18 years of age;
  • surgery: lateral thoracotomy or Ravitch procedure;
  • ASA 1-3;
  • postoperative analgesia: thoracic epidural analgesia or intravenous infusion of morphine.

Exclusion criteria

Exclusion Criteria:

  • allergy or sensitivity to gabapentin;
  • history of chronic pain or daily analgesic use;
  • diagnosed with psychiatric disorders;
  • treated oncologically;
  • with impaired verbal communication;
  • the lack of postoperative chest drainage.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
104 participants (actual)

Study arms

  • Experimental
    Gabapentin

    1. Single dose preoperative gabapentin. 2. After surgery gabapentin 2 times per day for 3 days.

    Drug: Gabapentin

  • Placebo comparator
    Placebo Control

    1. Single dose preoperative placebo control. 2. After surgery placebo 2 times per day for 3 days.

    Drug: Placebo

Interventions

  • 1. Patients in this arm of the study receive identical capsules, containing 15 mg/kg of oral gabapentin. 2. Patients after surgery receive identical capsules, containing 7,5 mg/kg of oral gabapentin 2 times per day.

    Also known as: Gabapentin TEVA, capsules

  • DrugPlacebo

    1. Patients in this arm of the study receive identical placebo capsules 1 hour before surgery. 2. Patients after surgery receive identical placebo capsules 2 times per day.

06

What researchers measure

Primary outcomes

  1. Pain intensity scores at rest (FLACC for patients <7 y.o., NRS for patients >7 y.o.)

    Time frame: postoperative day: 0-3

  2. Pain intensity scores during deep breathing (FLACC for patients <7 y.o., NRS for patients >7 y.o.)

    Time frame: postoperative day: 0-3

  3. Pain intensity scores during coughing (FLACC for patients <7 y.o., NRS for patients >7 y.o.)

    Time frame: postoperative day: 0-3

Secondary outcomes

  1. Total ropivacaine/fentanyl consumption.

    Time frame: postoperative day: 0-3

  2. Total morphine consumption.

    Time frame: postoperative day: 0-3

  3. Anxiety intensity scores.

    Patients rate their anxiety using State-Trait Anxiety Inventory.

    Time frame: before surgery, postoperative day 3

  4. Side Effect Occurrence

    Incidence and severity of nausea, vomiting, pruritis, sedation, dizziness, urinary retention, complication in relation to administering of the drugs to epidural space.

    Time frame: first 3 days after surgery

  5. The number of doses of metamizol as a "rescue drug"

    Time frame: postoperative day: 0-3

  6. Patient satisfaction.

    Responses can range from 0 (very dissatisfied) to 10 (very satisfied).

    Time frame: first 3 days after surgery

07

Study locations

1 site
  • Institute for Tuberculosis and Lung Diseases, Pediatric Division
    Rabka-Zdrój, Małopolska 34-700, Poland
08

References and documents

Publications

  • Rusy LM, Hainsworth KR, Nelson TJ, Czarnecki ML, Tassone JC, Thometz JG, Lyon RM, Berens RJ, Weisman SJ. Gabapentin use in pediatric spinal fusion patients: a randomized, double-blind, controlled trial. Anesth Analg. 2010 May 1;110(5):1393-8. doi: 10.1213/ANE.0b013e3181d41dc2. PubMed 20418301 ↗
  • Mayell A, Srinivasan I, Campbell F, Peliowski A. Analgesic effects of gabapentin after scoliosis surgery in children: a randomized controlled trial. Paediatr Anaesth. 2014 Dec;24(12):1239-44. doi: 10.1111/pan.12524. Epub 2014 Sep 17. PubMed 25230144 ↗
  • Tomaszek L, Fenikowski D, Maciejewski P, Komotajtys H, Gawron D. Perioperative Gabapentin in Pediatric Thoracic Surgery Patients-Randomized, Placebo-Controlled, Phase 4 Trial. Pain Med. 2020 Aug 1;21(8):1562-1571. doi: 10.1093/pm/pnz207. PubMed 31596461 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03393702
Lead sponsor
National Institute for Tuberculosis and Lung Diseases, Poland
Responsible party
Lucyna Tomaszek, PhD, RN (Head of Nursing, Specialist Nurse in Anesthesia and Intensive Care, National Institute for Tuberculosis and Lung Diseases, Poland) — Principal investigator
First posted
Jan 8, 2018
Start date
May 9, 2017
Primary completion
Dec 30, 2019
Completion
Dec 3, 2020
Last update
Sep 8, 2021

Study contacts

Lucyna Tomaszek, PhD
study director · National Institute for Tuberculosis and Lung Diseases, Poland

Oversight

Data monitoring committee
Yes
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 Aug 2021. You cannot join it, but the record below documents what was studied.

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