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Not yet recruitingNCT04598074Updated Sep 5, 2025

Opioid Package Prototype (OPP)

An interventional study of Opioid Package Prototype (OPP) and Usual Care (standard amber vial) in Opioid Use and Opioid Prescribing, Dispensing, and Patient Use, sponsored by UConn Health. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-05.

Sponsored by UConn Health · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
352
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The overall objective of this clinical trial is to identify the impact of selected package features, known as the Opioid Package Prototype (OPP), on the safe and effective use of opioids. Our specific aims are: (Aim 1) to evaluate the effectiveness of OPP on prescribing, dispensing, and patient use of oxycodone among orthopaedic surgery patients receiving post-operative outpatient oxycodone for post-surgical pain management, and (Aim 2) to determine the feasibility of OPP for orthopaedic surgery prescribers, pharmacists, and orthopaedic surgery patients. Such data can be used to further optimize packaging and labeling design, help patients and caregivers utilize their medication and packaging correctly, and improve prescribing and dispensing habits. The central hypothesis is that the OPP will be more effective than the amber vial in efforts to reduce oxycodone prescribing among patients over 18 receiving short-term management of post orthopedic surgery pain.

02

Conditions studied

  • Opioid Use
  • Opioid Prescribing, Dispensing, and Patient Use

Keywords

  • oxycodone
  • opioid
  • opioids
  • package
  • packaging
  • post-surgical pain
  • post-operative pain
  • orthopedic
  • orthopaedic
  • surgery
  • dispensing
  • prescribing
  • blister
  • tablets
  • pain
  • opioid package prototype
  • OPP
03

In context

Pain, Postoperative

5,640 studies on the registry are indexed under Pain, Postoperative; 1,230 are open to participants now.

This study's planned enrollment of 352 is above the median of 75 across 4,821 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

UConn Health is the lead sponsor of 187 studies on the registry; 18 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 7 (70%) have results posted.

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

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

  1. The patient is 18 years and older;
  2. The patient is one of the participating surgeons;
  3. The patient is receiving orthopaedic surgery that involves the use of opioid medication for post-operative pain;
  4. The patient is willing to receive oxycodone medication;
  5. The patient is willing and able to receive medication at the UConn Health Specialty Pharmacy, located in the Exchange across the street from the main entrance of UConn Health;
  6. The patient is willing and able to use a MyChart account;
  7. The patient is able to read and understand English; and
  8. The patient is able to understand the study procedures and their involvement in the study.

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
352 participants (estimated)

Study arms

  • Experimental
    Opioid Package Prototype (OPP)

    Oxycodone 5mg tablets dispensed in the Opioid Package Prototype (OPP) with frequency and quantities varying, depending on the type of surgical procedure performed, surgeon, and individual patient

    Other: Opioid Package Prototype (OPP)

  • Active comparator
    Usual Care (standard amber vial)

    Oxycodone 5mg tablets dispensed in the standard amber vial (usual care) with frequency and quantities varying, depending on the type of surgical procedure performed, surgeon, and individual patient

    Other: Usual Care (standard amber vial)

Interventions

  • OtherOpioid Package Prototype (OPP)

    The Opioid Package Prototype (OPP) is a child-resistant/senior-friendly, calendar-blister packaging of limited pill counts with flat readable billboard space for medication labeling.

  • OtherUsual Care (standard amber vial)

    The standard amber vial (orange bottle) is the container that medication is normally dispensed in outside of the study.

06

What researchers measure

Primary outcomes

  1. Number of tablets of oxycodone prescribed

    Count via medical/pharmacy records

    Time frame: 1 week after surgery

  2. Number of tablets of oxycodone prescribed

    Count via medical/pharmacy records

    Time frame: 1 month after surgery

  3. Number of tablets of oxycodone prescribed

    Count via medical/pharmacy records

    Time frame: 3 months after surgery

  4. Average morphine milligram equivalent (MME) of oxycodone tablets prescribed/per participant

    Mean

    Time frame: 1 week after surgery

  5. Average morphine milligram equivalent (MME) of oxycodone tablets prescribed/per participant

    Mean

    Time frame: 1 month after surgery

  6. Average morphine milligram equivalent (MME) of oxycodone tablets prescribed/per participant

    Mean

    Time frame: 3 months after surgery

  7. Number of oxycodone tablets used by study participants

    Count via survey/interview/visual inspection/photograph

    Time frame: 1 week after surgery

  8. Number of oxycodone tablets used by study participants

    Count via survey/interview/visual inspection/photograph

    Time frame: 1 month after surgery

  9. Number of oxycodone tablets used by study participants

    Count via survey/interview/visual inspection/photograph

    Time frame: 3 months after surgery

  10. Average morphine milligram equivalent (MME) of oxycodone tablets used/per participant

    Mean

    Time frame: 1 week after surgery

  11. Average morphine milligram equivalent (MME) of oxycodone tablets used/per participant

    Mean

    Time frame: 1 month after surgery

  12. Average morphine milligram equivalent (MME) of oxycodone tablets used/per participant

    Mean

    Time frame: 3 months after surgery

Secondary outcomes

  1. Number of requests for additional oxycodone prescriptions

    Count per patient survey/interview

    Time frame: 1 week, 1 month and 3 months after surgery

  2. Amount of dispensing time per oxycodone prescription for each study participant

    Log of dispensing start time (received prescription) and dispensing stop time (prescription ready for pick up)

    Time frame: Time of surgery and any refills up to 1 month after surgery

  3. Amount of counseling time per oxycodone prescription for each study participant

    Log of counseling start time (start to discuss medication information) and counseling stop time (complete discussion of medication information)

    Time frame: Time of surgery and any refills up to 1 month after surgery

  4. Awareness of oxycodone tablets used

    Amount of time to report number of tablets used via brief inspection of container (not manual count) during interview and various survey questions

    Time frame: 1 week and 1 month after surgery

  5. Change in knowledge of oxycodone from baseline to 1 week

    Number of correct answers out of 4 knowledge questions

    Time frame: Baseline (before surgery) and 1 week after surgery

  6. Awareness of oxycodone medication information

    Various survey/interview questions

    Time frame: 1 week and 1 month after surgery

  7. Consistency of access to oxycodone medication information

    Various survey/interview questions

    Time frame: 1 week and 1 month after surgery

  8. SANE (Single Assessment Numeric Evaluation) score

    "How would you rate your affected joint/region of interest today as a percentage of normal (0% to 100% scale with 100% being normal)?"

    Time frame: Baseline, 1 week, 1 month and 3 months after surgery

  9. PEG (Pain, Enjoyment of Life and General Activity) score

    A three-item scale assessing pain intensity and interference from 0-10. The three item scores are averaged for a final score and a higher number indicates greater pain and interference.

    Time frame: Baseline, 1 week, 1 month and 3 months after surgery

  10. Pain Medication Attitudes Questionnaire (PMAQ-14) score

    Participants indicate the degree to which they agree with 14 statements regarding pain medication from 0 (never true) to 5 (always true). The 14 scores are averaged for a final score and a higher number indicates a more negative attitude toward pain medications,

    Time frame: Baseline, 1 week, 1 month and 3 months after surgery

  11. Pain Catastrophizing Scale (PCS)

    A 13-item scale, with a total range of 0 to 52. Higher scores are associated with higher amounts of pain catastrophizing.

    Time frame: Baseline, 1 week, 1 month and 3 months after surgery

  12. Peri-Operative Opioid-Related Symptom Distress Scale (OR-SDS)

    A 4-point scale that evaluates 3 symptom distress dimensions (frequency, severity, bothersomeness) for 12 symptoms. The symptom-specific ORSDS is the average of the 3 symptom distress dimensions. The composite ORSDS is the average of 12 symptom-specific scores.

    Time frame: 1 week, 1 month and 3 months after surgery

  13. Patient Health Questionnaire-4 (PHQ-4)

    A 4-item inventory rated on a 4-point Likert-type scale to assess for anxiety and depression. The minimum score (0) indicates no psychological distress and the maximum score (12) indicates severe psychological distress.

    Time frame: Baseline, 1 week and 1 month after surgery

  14. Feasibility of OPP for orthopaedic surgery prescribers

    Interview regarding benefits and weaknesses of the OPP design, interest in prescribing OPP in the future, and how OPP design can be improved for the future

    Time frame: Within 1 month after prescribing the OPP to 30 participants

  15. Feasibility of OPP for pharmacists

    Interview questions regarding benefits and weaknesses of the OPP design, interest in dispensing OPP in the future, and how OPP design can be improved for the future

    Time frame: After dispensing all OPPs (approximately 2 years)

  16. Feasibility of OPP for orthopaedic surgery patients

    Interview questions regarding benefits and weaknesses of the OPP design, interest in using OPP in the future, and how OPP design can be improved for the future

    Time frame: Between 1 and 3 months after surgery

07

Study locations

1 site
  • UConn Health
    Farmington, Connecticut 06030, United States
    • Nathaniel M Rickles, PharmD, PhD, BCPP, FAPhA · Contactnathaniel.rickles@uconn.edu · 860-486-6026
    • Nathaniel M Rickles, PharmD, PhD, BCPP, FAPhA · Principal investigator
    • Katherine J Coyner, MD, FAOA · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04598074
Lead sponsor
UConn Health
Collaborators
University of Connecticut, Food and Drug Administration (FDA)
Responsible party
Nathaniel Rickles (Professor of Pharmacy Practice, UConn Health) — Principal investigator
First posted
Oct 22, 2020
Start date
Sep 7, 2025 (estimated)
Primary completion
Jun 1, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Sep 5, 2025

Study contacts

Nathaniel M Rickles, PharmD, PhD, BCPP, FAPhA
Contact
nathaniel.rickles@uconn.edu
860-486-6026
Nathaniel M Rickles, PharmD, PhD, BCPP, FAPhA
principal investigator · University of Connecticut

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 not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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