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Status unknownNCT05186454Updated Jan 28, 2022

Postoperative Pain Control by Use of Many Drugs in Small Doses Intrathecally

A Phase 2 interventional study of Morphine Sulfate and Bupivacaine in Post Operative Pain, sponsored by Sohag University. Status unknown at 1 site in Egypt. Open to female participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2022-01-28.

Sponsored by Sohag University · Phase 2, Interventional, and Health services research

The sponsor has not verified this record recently (last verified Jan 2022), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled May 2021, registered Dec 2021).
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
Female
01

Study summary

Cesarean section is one of the painful operations that require adequate postoperative analgesia. Patients are divided into two groups: Multimodal (DMM) group ( 30 patients): patients will receive spinal anesthesia with 10-12.5 mg bupivacaine and 1 ml containing 2 mg dexamethasone, 50 µg morphine, and 500 µg midazolam.

Morphine (M) group (30 patients): patients will receive spinal anesthesia with 10-12.5 mg bupivacaine and 1 ml containing 200 µg morphine

02

Conditions studied

  • Post Operative Pain

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Keywords

  • Intrathecal morphine, midazolam, dexamethasone, cesarean section
03

In context

Pain, Postoperative

5,224 studies on the registry are indexed under Pain, Postoperative; 1,154 are open to participants now.

This study's planned enrollment of 60 is below the median of 75 across 4,457 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Sohag University is the lead sponsor of 1,218 studies on the registry; 627 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 40 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

  • ASA I-II
  • Age 20-40 years.
  • Pregnant women with living fetus.
  • Body mass index 20- 35 kg/m2.

Exclusion criteria

Exclusion criteria:

  • Patient refusal.
  • Age \< 20 or > 40 years
  • Body mass index \< 20 or > 35.
  • Contraindication to spinal anesthesia (severe mitral or aortic stenosis, coagulopathy, Systemic or local infection, increased intracranial pressure and hypovolemia).
  • Placental abnormalities: placental abruption, placenta previa or accrete.
  • Allergy to drugs used in the study.
05

Study design

Phase
Phase 2
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Morphine

    Patients will receive 10-12.5 mg bupivacaine and 1 ml containing 200 µg of morphine intrathecally.

    Drug: Morphine Sulfate · Drug: Bupivacaine

  • Active comparator
    Multimodal

    Patients will receive 10-12.5 mg bupivacaine and 1 ml containing 2 mg dexamethasone, 50 µg morphine, and 500 µg midazolam intrathecally

    Drug: Bupivacaine · Drug: dexamethasone, morphine, midazolam

Interventions

06

What researchers measure

Primary outcomes

  1. 1st analgesic requirement

    The first time of supplemental analgesic need postoperatively

    Time frame: 24 hours

Secondary outcomes

  1. Analgesic consumption

    Total analgesic consumption

    Time frame: 24 hours

  2. Post operative pain

    Visual Analog Scale(0-10 with 0 is no pain and 10 is maximum intolerable pain)

    Time frame: 24 hours

  3. Side effects

    1. Pruritus (assessed the number of patients suffering from pruritus and grading the degree as follow:Mild= Itching is a minor concern, Moderate = Itching is a primary concern, but bearable,Severe= Unbearable; patient need anti-histaminic treatment. 2. Nausea and/or vomiting(assessed on 4 grade scales: 0= no symptoms present, 1 =mild nausea with no need for pharmacological treatment, 2= moderate nausea that required treatment (ondansetron 4 mg), 3= severe nausea that is resistant to treatment). 3-Sedation (assessed on 4 grade scale: 1-awake and alert, 2 -slightly drowsy, easily aroused, 3 -drowsy, drifts off to sleep during conversation, 4 -somnolent, minimal, or no response to physical stimulation). 4- Respiratory depression whether present or not(Respiratory depression was defined as a respiratory rate ≤10/min.)

    Time frame: 24 hours

07

Study locations

1 of 1 sites recruiting
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 Jan 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05186454
Lead sponsor
Sohag University
Responsible party
Fouad Soliman (Lecturer of Anesthesia and ICU, Sohag University) — Principal investigator
First posted
Jan 11, 2022
Start date
May 23, 2021
Primary completion
Feb 10, 2022 (estimated)
Completion
Feb 15, 2022 (estimated)
Last update
Jan 28, 2022

Study contacts

Fouad Soliman
Contact
fouad_soliman@med.sohag.edu.eg
01113815186

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 status unknown, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Morphine · Dexamethasone · Midazolam

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