ClinicalTrials.gg
CompletedNCT03762109Updated Jun 18, 2026Results posted

The Use of Dantrolene to Improve Analgesia in Posterior Lumbar Surgery

A Phase 2 interventional study of Dantrolene and Placebo Oral Tablet in Lumbar Spine Injury, sponsored by Beth Israel Deaconess Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Beth Israel Deaconess Medical Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether administration of a non-centrally acting muscle relaxants will improve the Overall Benefit of Analgesia Score (OBAS), and Richmond Agitation Sedation Scale (RASS) scores in patients undergoing lumbar fusion.

02

Conditions studied

  • Lumbar Spine Injury

Browse trials for

Keywords

  • Surgery
  • Dantrolene
  • Anesthesia
03

In context

Spinal Injuries

57 studies on the registry are indexed under Spinal Injuries; 15 are open to participants now.

This study's enrollment of 116 is above the median of 52 across 31 interventional studies indexed under Spinal Injuries.

Browse Spinal Injuries studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 568 studies on the registry; 80 are open to participants now.

Of its 76 completed or terminated interventional studies of FDA-regulated products, 62 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 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

  • 18 - 80 years of age (inclusive)
  • Presenting to the study hospital for lumbar decompression and/or fusion (instrumented fusion of the lumbar spine \< 4 levels) under general anesthesia, and scheduled for same-day admission or in-patient admission
  • (ASA) Category 1, 2 or 3

Exclusion criteria

Exclusion Criteria

  • Known allergy to Dantrolene, morphine or other opioids, benzodiazepines that causes a reaction of hives, anaphylaxis, shock, unconsciousness/fainting, rashes/blisters, irregular heartbeat, fever, swelling, shortness of breath, wheezing, serum sickness, drug induced anemia, drug reaction with eosinophilia, and systemic symptoms, or nephritis
  • Oxygen saturation \< 94%
  • Patient being treated with any of the following medications:Non-dihydropyridine Calcium Channel Blockers including verapamil, Estrogen therapy
  • Current or past medical history of any of the following: hepatic impairment (including history of transplant), renal impairment or chronic renal disease (including history of transplant), chronic alcohol abuse, chronic respiratory disease (i.e. chronic hypoxia or hypercapnia, )
  • Recent history of aspiration (within the last 3 months)
  • Patients with any history of neuromuscular dysfunction
  • History of obstructive sleep apnea
  • Weight > 140 kg
  • Currently pregnant
  • Actively breastfeeding
  • Inability to provide written
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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
116 participants (actual)

Study arms

  • Experimental
    Dantrolene Group

    Patients will receive 25 mg of Dantrolene orally at four different time points: immediately before surgery, as well as at 12, 24 and 36 hours after surgery.

    Drug: Dantrolene

  • Placebo comparator
    Placebo Oral Tablet Group

    Patients will receive a 25 mg of a placebo pill orally at four different time points: immediately before surgery, as well as at 12, 24 and 36 hours after surgery.

    Drug: Placebo Oral Tablet

Interventions

  • muscle relaxant

    Also known as: Dantrium, Dantrolene Sodium

  • DrugPlacebo Oral Tablet

    inactive pill

    Also known as: placebo

06

What researchers measure

Primary outcomes

  1. Overall Benefit of Analgesia Score (OBAS)

    OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).

    Time frame: Measured at 24 hours after surgery

Secondary outcomes

  1. Overall Benefit of Analgesia Score (OBAS)

    OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).

    Time frame: Measured at 48 hours after surgery

  2. Richmond Agitation Sedation Scale (RASS)

    The Richmond Agitation and Sedation Scale (RASS) is a validated and reliable method to assess patients' level of sedation in the intensive care unit. Scores range from +4 (combative) to -5 (unarousable). A score of 0 (alert and calm) is considered the best outcome.

    Time frame: Measured at 24 and 48 hours after surgery

  3. Numerical Rating Scale (NRS) for Pain

    Pain scores will be recorded on a scale from 0 (best outcome) to 10 (worst outcome).

    Time frame: Measured at 24, 48 hours after surgery

  4. Hospital Length of Stay

    The length of the patients stay in the hospital will be measured in days

    Time frame: Until discharge from the hospital, on average three days

  5. Benzodiazepine Use Postoperatively

    The number of patients who receive benzodiazepines after surgery will be recorded.

    Time frame: Until discharge from the hospital, on average three days

  6. ICU Mobility Score

    The patients ability to move will be recorded on a scale from 0 (nothing, lying in bed; worst outcome) to 20 (walking independently without a gait aid; best outcome).

    Time frame: Measured at 24 and 48 hours after surgery

  7. Oral Morphine Eqivalent (OME) Doses

    OME in mg at 24 and 48 hours

    Time frame: During postoperative period

07

Results

Posted Jun 18, 2026

Participant flow

Participants were eligible for enrollment if they met all the following criteria: Age 18 to 80 years, inclusive. Scheduled to undergo lumbar spine decompression and/or instrumented fusion involving two or more vertebral levels via a posterior surgical approach under general anesthesia at Beth Israel Deaconess Medical Center. Planned same-day admission or inpatient hospital admission following surgery. Classified as American Society of Anesthesiologists (ASA) physical status I, II, or III

Participant flow — Overall Study
MilestoneDantrolene GroupPlacebo Oral Tablet Group
Started5858
Completed4552
Not completed136

Outcome measures

PrimaryOverall Benefit of Analgesia Score (OBAS)

OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).

Time frame:
Measured at 24 hours after surgery
Reported as:
Mean · OBAS Score
Overall Benefit of Analgesia Score (OBAS)
OBAS ScoreDantrolene GroupPlacebo Oral Tablet Group
Overall Benefit of Analgesia Score (OBAS)4.0 (2 to 6)4.0 (2 to 6)
SecondaryOverall Benefit of Analgesia Score (OBAS)

OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).

Time frame:
Measured at 48 hours after surgery
Reported as:
Mean · OBAS Score at 48 hours
Overall Benefit of Analgesia Score (OBAS)
OBAS Score at 48 hoursDantrolene GroupPlacebo Oral Tablet Group
Overall Benefit of Analgesia Score (OBAS)4 (2 to 6)4 (2 to 7)
SecondaryRichmond Agitation Sedation Scale (RASS)

The Richmond Agitation and Sedation Scale (RASS) is a validated and reliable method to assess patients' level of sedation in the intensive care unit. Scores range from +4 (combative) to -5 (unarousable). A score of 0 (alert and calm) is considered the best outcome.

Time frame:
Measured at 24 and 48 hours after surgery
Reported as:
Count of participants · Participants
Richmond Agitation Sedation Scale (RASS)
ParticipantsDantrolene GroupPlacebo Oral Tablet Group
24 Hours, Score of <026
24 Hours, Score of 03841
24 Hours, Score of >055
48 Hours, Score of <026
48 Hours, Score of 03841
48 Hours, Score of >055
SecondaryNumerical Rating Scale (NRS) for Pain

Pain scores will be recorded on a scale from 0 (best outcome) to 10 (worst outcome).

Time frame:
Measured at 24, 48 hours after surgery
Reported as:
Mean · score on a scale
Numerical Rating Scale (NRS) for Pain
score on a scaleDantrolene GroupPlacebo Oral Tablet Group
24 Hours6 (4 to 8)6 (3.75 to 8)
48 hours5 (3.25 to 6.75)5 (3 to 7)
SecondaryHospital Length of Stay

The length of the patients stay in the hospital will be measured in days

Time frame:
Until discharge from the hospital, on average three days
Reported as:
Median · days
Hospital Length of Stay
daysDantrolene GroupPlacebo Oral Tablet Group
Hospital Length of Stay4.00 (3 to 5)4.50 (3 to 6)
SecondaryBenzodiazepine Use Postoperatively

The number of patients who receive benzodiazepines after surgery will be recorded.

Time frame:
Until discharge from the hospital, on average three days
Reported as:
Count of participants · Participants
Benzodiazepine Use Postoperatively
ParticipantsDantrolene GroupPlacebo Oral Tablet Group
Lorazepam24
Diazepam2228
SecondaryICU Mobility Score

The patients ability to move will be recorded on a scale from 0 (nothing, lying in bed; worst outcome) to 20 (walking independently without a gait aid; best outcome).

Time frame:
Measured at 24 and 48 hours after surgery
Reported as:
Median · score on a scale
ICU Mobility Score
score on a scaleDantrolene GroupPlacebo Oral Tablet Group
ICU Mobility Score at 24 Hours7.00 (0 to 9)2.00 (0 to 9)
ICU Mobility Score at 48 Hours8.00 (2.5 to 10)5.00 (0 to 9)
SecondaryOral Morphine Eqivalent (OME) Doses

OME in mg at 24 and 48 hours

Time frame:
During postoperative period
Reported as:
Median · mg
Oral Morphine Eqivalent (OME) Doses
mgDantrolene GroupPlacebo Oral Tablet Group
OME at 24 Hours57.50 (45 to 74.5)57.50 (43.62 to 79.06)
OME at 48 Hours45 (15 to 63.75)46.25 (26.25 to 75)

Adverse events

Collected over Last data collection (48 hours after surgery/baseline). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dantrolene Group0/45 (0%)0/45 (0%)9/45 (20%)
Placebo Oral Tablet Group0/52 (0%)0/52 (0%)13/52 (25%)
Most frequent other events
Most frequent other events
EventDantrolene GroupPlacebo Oral Tablet Group
Surgical ComplicationNervous system disorders9/4513/52

Baseline characteristics

Participants that completed the study

Age, Continuous
Age, Continuous(Mean Age in years)Dantrolene GroupPlacebo Oral Tablet GroupTotal
Mean64 (56 to 69)64 (58 to 70)64 (56 to 70)
Sex: Female, Male
Sex: Female, Male(Participants)Dantrolene GroupPlacebo Oral Tablet GroupTotal
Female162036
Male293261
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Dantrolene GroupPlacebo Oral Tablet GroupTotal
American Indian or Alaska Native000
Asian202
Native Hawaiian or Other Pacific Islander011
Black or African American224
White344478
More than one race000
Unknown or Not Reported7512
08

Study locations

1 site
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2019 to primary completion in Jun 2024, 58 months.

Results were first posted in Jun 2026, 2 years after primary completion.

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

Registered
Nov 30, 2018
First posted
Dec 3, 2018
StartActual
Jul 29, 2019
Primary completionActual
Jun 1, 2024
CompletionActual
Jun 1, 2024
Results first posted
Jun 18, 2026
Last update
Jun 18, 2026
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 Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03762109
Responsible party
Richard J. Pollard (Director, Neurosurgical Anesthesia Fellowship, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Dec 3, 2018
Start date
Jul 29, 2019
Primary completion
Jun 1, 2024
Completion
Jun 1, 2024
Results posted
Jun 18, 2026
Last update
Jun 18, 2026

Study contacts

Richard J Pollard, MD
principal investigator · Beth Israel Deaconess Medical Center

Oversight

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

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