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CompletedNCT05327777Updated Jun 5, 2023Results posted

Toward Zero Prescribed Opioids for Outpatient General Surgery

A Phase 4 interventional study of Oxycodone and Zero Opioid Protocol in Opioid Misuse and Addiction and Pain, sponsored by Thomas Jefferson University. Completed at 1 site in United States. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-05.

Sponsored by Thomas Jefferson University · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Nov 2019, registered Apr 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
129
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

Investigators have created an opioid reduction "package" which includes patient education, non-narcotic pain control instructions, and limited (or no) opioid pain prescriptions provided at discharge in an attempt to reduce the number of opioid consumption after outpatient general surgery.

Read the detailed description

Between November 2019 and July 2021, patients undergoing elective inguinal hernia repair (IHR) or cholecystectomy were enrolled in the study. Patients were divided into three cohorts: Control, opioid sparing (OS), or zero-opioid (ZO). Control patients did not have any intervention; OS patients had an opioid reduction intervention protocol applied (patient education and perioperative multimodal analgesia) and were provided an opioid prescription at discharge; the ZO had the same protocol, however patients were not provided opioid prescriptions at discharge. Two weeks after discharge patients were interviewed to record opioid consumption, pain scores, and level of satisfaction since discharge.

02

Conditions studied

  • Opioid Misuse and Addiction
  • Pain
03

In context

Opioid-Related Disorders

1,411 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

This study's enrollment of 129 is above the median of 63 across 1,123 interventional studies indexed under Opioid-Related Disorders.

Browse Opioid-Related Disorders studies →

Lead sponsor

Thomas Jefferson University is the lead sponsor of 384 studies on the registry; 71 are open to participants now.

Of its 44 completed or terminated interventional studies of FDA-regulated products, 20 (45%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Opioid naïve patients
  • Age > 18
  • Being scheduled for an outpatient elective inguinal hernia repair or cholecystectomy

Exclusion criteria

Exclusion Criteria:

  • Urgent/emergent status
  • Previous cholecystostomy tube placement
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
129 participants (actual)

Study arms

  • No intervention
    Control

    Normal standard practices

  • Experimental
    Opioid Sparing

    Providers required to prescribe 10 narcotic pills only

    Drug: Oxycodone

  • Experimental
    Zero Opioid

    No narcotic prescription is provided to patient at discharge

    Behavioral: Zero Opioid Protocol

Interventions

  • DrugOxycodone

    Investigators provided set opioid prescriptions for 10 pills each patient.

  • BehavioralZero Opioid Protocol

    Investigators provided no opioid prescriptions at discharge and instead provided information on non-narcotic pain control.

06

What researchers measure

Primary outcomes

  1. Morphine Milligram Equivalents Taken by Participants

    Patients will be interviewed fourteen days after procedure and asked how many opioid pills they have taken since being discharged form the hospitals

    Time frame: 14 days

Secondary outcomes

  1. Satisfaction Scores Ranging From 1 - 10

    Patient will be asked to rank their satisfaction scores on a scale from 1 - 10 (with 1 being extremely dissatisfied and 10 being extremely satisfied) since discharge from the hospital

    Time frame: 14 days

07

Results

Posted Jun 5, 2023

Participant flow

Participant flow — Overall Study
MilestoneControlOpioid SparingZero Opioid
Started584229
Completed584229
Not completed000

Outcome measures

PrimaryMorphine Milligram Equivalents Taken by Participants

Patients will be interviewed fourteen days after procedure and asked how many opioid pills they have taken since being discharged form the hospitals

Time frame:
14 days
Reported as:
Median · morphine milligram equivalents
Morphine Milligram Equivalents Taken by Participants
morphine milligram equivalentsControlOpioid SparingZero Opioid
Morphine Milligram Equivalents Taken by Participants46 (37.5 to 75)15 (11 to 22.5)0 (0 to 0)
SecondarySatisfaction Scores Ranging From 1 - 10

Patient will be asked to rank their satisfaction scores on a scale from 1 - 10 (with 1 being extremely dissatisfied and 10 being extremely satisfied) since discharge from the hospital

Time frame:
14 days
Reported as:
Median · units on a scale
Satisfaction Scores Ranging From 1 - 10
units on a scaleControlOpioid SparingZero Opioid
Satisfaction Scores Ranging From 1 - 1010 (9 to 10)10 (9 to 10)10 (8.5 to 10)

Adverse events

Collected over 3 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control0/58 (0%)0/58 (0%)0/58 (0%)
Opioid Sparing0/42 (0%)0/42 (0%)0/42 (0%)
Zero Opioid0/29 (0%)0/29 (0%)0/29 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)ControlOpioid SparingZero OpioidTotal
Mean52.4 ± 1.855.3 ± 2.058.6 ± 2.954 ± 3.4
Sex: Female, Male
Sex: Female, Male(Participants)ControlOpioid SparingZero OpioidTotal
Female1910231
Male39322798
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ControlOpioid SparingZero OpioidTotal
American Indian or Alaska Native0000
Asian2103
Native Hawaiian or Other Pacific Islander0000
Black or African American35715
White473122100
More than one race5409
Unknown or Not Reported1102
Region of Enrollment
Region of Enrollment(participants)ControlOpioid SparingZero OpioidTotal
United States584229129
BMI
BMI(kg/m^2)ControlOpioid SparingZero OpioidTotal
Median27.8 (25.4 to 32.1)27.9 (24.3 to 31)25.4 (23.3 to 28.7)27 (25 to 30)
08

Study locations

1 site
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 1, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — No Plans to share the IPD

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05327777
Lead sponsor
Thomas Jefferson University
Responsible party
Sponsor
First posted
Apr 14, 2022
Start date
Nov 1, 2019
Primary completion
Jul 30, 2021
Completion
Mar 15, 2023
Results posted
Jun 5, 2023
Last update
Jun 5, 2023

Study contacts

Francesco Palazzo, MD
principal investigator · Thomas Jefferson University

Oversight

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

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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