ClinicalTrials.gg
CompletedNCT04522206Updated Jul 11, 2022Results posted

An Analysis of the Efficacy of a Pre-Emptive Multimodal Pain Regimen in Reducing Acute Post-Operative Pain and Narcotic Pain Medication Requirements in Spine Surgery

A Phase 4 interventional study of Pre-op Multimodal analgesia (MMA) regimen + standard post-op oxycodone in Pain, Postoperative, Spine Injuries and Disorders and Narcotic Use, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-11.

Sponsored by NYU Langone Health · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
44
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 13 studies in Pain, Postoperative by NYU Langone Health — 4 open to participants now, 5 under way, 1 of them phase 3. Pain, Postoperative · NYU Langone Health.

Enrollment
6th of 13
44 · median 40
Started
2020
with 1 other
Phase 4
4 of 13
1 open now
Registered
4th of 13
by date

Among the 13 studies in Pain, Postoperative by NYU Langone Health, this one is the 6th largest by enrollment, is one of 2 that started in 2020, is one of 4 in phase 4, and was the 4th registered.

By phase

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

No phase4 · 2 open
Phase 4this study4 · 1 open
Phase 32 · 0 open
Phase 11 · 0 open
Phase 1/21 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2014; this study’s year is marked. 2 started in 2020.

Size and results

Median enrollment 40 across the 13 interventional studies. Of the 6 that completed or were terminated, 5 (83%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 13 studies in Pain, Postoperative by NYU Langone Health, or all of them as a file.
02

Study summary

The aim of this study is to investigate the hypothesis that multimodal pain regimen (consisting of acetaminophen, celecoxib, gabapentin, and oxycodone) administered pre-operatively before elective spine surgery significantly decreases acute pain post-operatively as well as decreasing requirements of post-op opioids for pain control in PACU as compared to patients undergoing elective spine surgery without a pre-operative pain regimen.

03

Conditions studied

  • Pain, Postoperative
  • Spine Injuries and Disorders
  • Narcotic Use
04

Who can participate

Ages eligible
18 Years and older
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

  • Undergoing elective spine surgery at NYU Winthrop
  • Age over 18 years

Exclusion criteria

Exclusion Criteria:

  • History of neuromuscular disorders
  • History of inflammatory arthropathies
  • History of spine or active cancer in spine
  • Medical History including any of the following: renal dysfunction, gastric ulcers, hepatic dysfunction, coagulopathic/bleeding disorders, prior adverse or allergic reactions to any of the medications in the study
  • Age less than 18 years
Terms in these criteria, in plain language(1)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    Patients undergoing elective spine surgery

    Drug: Pre-op Multimodal analgesia (MMA) regimen + standard post-op oxycodone

Interventions

  • DrugPre-op Multimodal analgesia (MMA) regimen + standard post-op oxycodone

    The study subjects will be assigned to the defined pre-op MMA regimen with standard postop oxycodone based pain control regimen given on an as needed basis. The treatment group outcomes will be compared to patients outside of the study including a historical control group (receiving only post-op pain regimen) prior to the implementation of the new regimen. The studied treatment group will receive within 3 hours before surgery an oral MMA regimen consisting of: Acetaminophen 975 mg Celecoxib 200 mg Gabapentin 300 mg Oxycodone 10 mg Extended Release

06

What researchers measure

Primary outcomes

  1. Visual Analogue Scale (VAS) for Pain

    VAS is a tool widely used to measure pain. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left edge (=VAS score). The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.

    Time frame: 24 hours

  2. Opioid Sparing and Rescue Time

    Time interval from patient extubation to time when pain medication is first demanded in the PACU

    Time frame: 24 hours

Secondary outcomes

  1. Length of Stay in Hospital

    Time frame: Up to 12 days

07

Results

Posted Jul 11, 2022

Participant flow

Participant flow — Overall Study
MilestonePatients Undergoing Elective Spine Surgery
Started44
Completed44
Not completed0

Outcome measures

PrimaryVisual Analogue Scale (VAS) for Pain

VAS is a tool widely used to measure pain. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left edge (=VAS score). The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.

Time frame:
24 hours
Reported as:
Mean · score on a scale
Visual Analogue Scale (VAS) for Pain
score on a scalePatients Undergoing Elective Spine Surgery
Visual Analogue Scale (VAS) for Pain4.8 ± 2.6
PrimaryOpioid Sparing and Rescue Time

Time interval from patient extubation to time when pain medication is first demanded in the PACU

Time frame:
24 hours
Reported as:
Mean · Hours
Opioid Sparing and Rescue Time
HoursPatients Undergoing Elective Spine Surgery
Opioid Sparing and Rescue Time1.5 ± 2.2
SecondaryLength of Stay in Hospital
Time frame:
Up to 12 days
Reported as:
Mean · Hours
Length of Stay in Hospital
HoursPatients Undergoing Elective Spine Surgery
Length of Stay in Hospital139 (7 to 270)

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Patients Undergoing Elective Spine Surgery0/44 (0%)0/44 (0%)0/44 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Patients Undergoing Elective Spine Surgery
Mean55.9 ± 10.7
Sex: Female, Male
Sex: Female, Male(Participants)Patients Undergoing Elective Spine Surgery
Female18
Male26
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Patients Undergoing Elective Spine Surgery
Hispanic or Latino0
Not Hispanic or Latino44
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Patients Undergoing Elective Spine Surgery
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American5
White36
More than one race0
Unknown or Not Reported2
Region of Enrollment
Region of Enrollment(participants)Patients Undergoing Elective Spine Surgery
United States44
08

Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to the PI. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 9 months and ending 36 months following article publication

Access criteria: Requests may be directed to the PI.

10

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 Aug 2020 to primary completion in Jun 2021, 9 months.

Results were first posted in Jul 2022, 1 year 1 month after primary completion.

Of 531 non-industry phase 4 interventional studies under Pain, Postoperative, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 32. This study's 9 months is below that.

Counting every sponsor, half of 541 studies reached it within 16 months; a quarter within 8 and three quarters within 32.

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

Registered
Aug 17, 2020
First posted
Aug 21, 2020
StartActual
Aug 20, 2020
Primary completionActual
Jun 10, 2021
CompletionActual
Jun 10, 2021
Results first posted
Jul 11, 2022
Last update
Jul 11, 2022
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 Jul 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04522206
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Aug 21, 2020
Start date
Aug 20, 2020
Primary completion
Jun 10, 2021
Completion
Jun 10, 2021
Results posted
Jul 11, 2022
Last update
Jul 11, 2022

Study contacts

Muhammad Tariq, MD
principal investigator · NYU Langone Health

Oversight

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

Not currently enrolling

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

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