ClinicalTrials.gg
RecruitingNCT06590714Updated Sep 19, 2024

Perioperative Polmacoxib Reduce Opioid Consumption for Post Operative Pain After Rotator Cuff Tear.

An interventional study of Experimental(Acelex cap m2mg) and Active Comparator(NSAIDs-excluded non-opioid or opioid analgesics) in Rotator Cuff Tear, sponsored by Eulji University Hospital. Recruiting at 1 site in Korea, Republic of. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Eulji University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 2 months ago, but the record still lists the study as recruiting.
  • Started Aug 2024; still recruiting 2 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

  1. **One day (±1 day) before surgery:** The investigator or designated study staff will thoroughly explain the clinical trial process to the participant and their guardian (representative) based on the informed consent form and provide the form so that all participants and their guardians have sufficient time to read, discuss, and decide. Participants who agree to participate in the clinical trial will voluntarily sign the written consent form and receive a copy of the signed consent form before any study-related procedures are conducted. The clinical trial site will assign a screening number to patients who voluntarily provide consent and undergo screening. The screening number can be assigned in the order in which the participants sign the consent within the study site. After confirming eligibility based on inclusion/exclusion criteria, randomization will be performed to assign participants to either the treatment group or the control group (with a 1:1 ratio). If assigned to the treatment group, participants will receive \'Polacoxib (preventive Acelex cap 2mg) once daily, NSAIDs-excluded non-opioid/opioid analgesics - PRN use.\' If assigned to the control group, participants will receive NSAIDs-excluded non-opioid or opioid analgesics. Data will be collected by comparing the two groups in a double-arm setup. Pain scores, UCLA/ASES scores, and joint range of motion will be collected, and this data will be valid up to 3 months before the surgery. (For patients taking NSAIDs or Ultracet, the dose will be maintained until v5.)
  2. **Two hours before surgery:** Administration of medication begins.
  3. **Three days after surgery:** Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses (post-surgery). Non-opioid or opioid analgesics (e.g., Fentanyl injection or Ultracet) will be used to manage post-surgical pain, and the number of doses will be collected to assess the participant's pain.
  4. **Two weeks after surgery:** An outpatient visit will be conducted one week after discharge. Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses at the two-week mark.
  5. **Six weeks after surgery:** Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses.
  6. **Three months after surgery:** MRI will be performed to check for re-tears (optional for participants). This visit will be the study's completion visit, during which pain scores, UCLA/ASES scores, joint range of motion, and cumulative doses of NSAIDs-excluded non-opioid or opioid analgesics will be collected. If adverse events occurring during the treatment period have resolved before this completion visit, no additional safety follow-up will be performed, and this visit will be considered the end of the clinical trial. If adverse events have not resolved by the completion visit, follow-up will continue until the adverse events have either returned to pre-study or baseline levels, or the principal investigator or designee determines that the adverse events have stabilized, or no further follow-up is deemed necessary. This follow-up will mark the completion of the clinical trial.
Read the detailed description

**⑧-1. Visit 0: Pre-surgery Admission, Orthopedic Ward (Consent Acquisition and Screening)** According to the investigator\'s judgment, patients who are considered potential candidates will be encouraged to participate in the clinical trial. One day (±1 day) before surgery, the investigator or designated study staff will thoroughly explain the clinical trial process to the participant and their guardian (representative) based on the informed consent form and provide the form so that all participants and their guardians have sufficient time to read, discuss, and decide. Participants who agree to participate in the clinical trial will voluntarily sign the written consent form and receive a copy of the signed consent form before any study-related procedures are conducted. The clinical trial site will assign a screening number to patients who voluntarily provide consent and undergo screening. The screening number can be assigned in the order in which the participants sign the consent within the study site. After confirming eligibility based on inclusion/exclusion criteria, randomization will be performed to assign participants to either the treatment group or the control group (with a 1:1 ratio). If assigned to the treatment group, participants will receive 'Polmacoxib (preventive Acelex cap 2mg) once daily,' and NSAIDs-excluded non-opioid/opioid analgesics - PRN. If assigned to the control group, participants will receive NSAIDs-excluded non-opioid or opioid analgesics. Data will be collected by comparing the two groups in a double-arm setup. Pain scores, UCLA/ASES scores, and joint range of motion will be collected, and this data will be valid up to 3 months before the surgery.

**Visit 0 Investigations and Examinations:**

  1. Obtain written consent
  2. Assign screening number
  3. Verify inclusion/exclusion criteria
  4. Collect baseline information of the participant
  5. Collect baseline disease information
  6. Physical examination
  7. Imaging data (MRI, X-ray, etc.)
  8. UCLA/ASES scores (including pain scores)
  9. Joint range of motion
  10. Randomization

      1. Visit 1: Two Hours Before Surgery, Orthopedic Ward (Medication Administration)** Medication administration begins two hours before surgery.

**Visit 1 Investigations and Examinations:**

  1. Medication administration

      1. Visit 2: Post-surgery Admission, Orthopedic Ward (Three Days After Surgery)** Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses (post-surgery) three days after surgery. Non-opioid or opioid analgesics (e.g., Fentanyl injection or Ultracet) will be used to manage post-surgical pain, and the number of doses will be collected to assess the participant's pain.

**Visit 2 Investigations and Examinations:**

  1. Pain scores
  2. Physical examination
  3. Check for adverse events
  4. Cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses (post-surgery)

      1. Visit 3: Two Weeks After Surgery (±3 Days), Orthopedic Outpatient Clinic** An outpatient visit will be conducted one week after discharge. Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses at the two-week mark.

**Visit 3 Investigations and Examinations:**

  1. Pain scores
  2. Physical examination
  3. Check for adverse events
  4. Cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses (cumulative since surgery)

      1. Visit 4: Six Weeks After Surgery (±3 Days)** Collect pain scores and the cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses at the six-week mark.

**Visit 4 Investigations and Examinations:**

  1. Pain scores
  2. Cumulative number of NSAIDs-excluded non-opioid or opioid analgesic doses (cumulative since surgery)
  3. Physical examination
  4. Check for adverse events

      1. Visit 5: Twelve Weeks After Surgery (±3 Days), Orthopedic Outpatient Clinic** An MRI will be performed to check for re-tears (optional for participants). This visit will be the study's completion visit, during which pain scores, UCLA/ASES scores, joint range of motion, and cumulative doses of NSAIDs-excluded non-opioid or opioid analgesics will be collected. If adverse events occurring during the treatment period have resolved before this completion visit, no additional safety follow-up will be performed, and this visit will be considered the end of the clinical trial. If adverse events have not resolved by the completion visit, follow-up will continue until the adverse events have either returned to pre-study or baseline levels, or the principal investigator or designee determines that the adverse events have stabilized, or no further follow-up is deemed necessary. This follow-up will mark the completion of the clinical trial.
02

Conditions studied

  • Rotator Cuff Tear

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Keywords

  • rotator cuff tear
  • reduction of Opioids
  • Effects of Polmacoxib Administration
03

In context

Rotator Cuff Injuries

631 studies on the registry are indexed under Rotator Cuff Injuries; 156 are open to participants now.

This study's planned enrollment of 150 is above the median of 60 across 456 interventional studies indexed under Rotator Cuff Injuries.

Browse Rotator Cuff Injuries studies →

Lead sponsor

Eulji University Hospital is the lead sponsor of 10 studies on the registry; 4 are open to participants now.

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

  • patients over 18 years of age
  • Patients who need rotator cuff rupture or rotator cuff surgery with MRI identified osteoarthritis (especially small and medium SST dominant rupture)
  • NSAIDs unadministered patients for more than 1 month
  • Ultracet unadministered patients for more than 1 month

Exclusion criteria

Exclusion Criteria:

  • primary fiftieth shoulder
  • including short-lived frozen shoulders
  • infectious arthritis
  • previous injections/surgery
  • moderate-severe arthroplasty
  • a traumatized patient
  • a central or peripheral nervous system disease
  • a mental illness that may not conform to medical or physical therapy
  • a woman of childbearing age
  • Pregnancy
  • a severe gastrointestinal ulcer
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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Experimental(Acelex cap 2mg)

    Experimental Arm (Polmacoxib (Acelex cap 2mg) + Non-NSAID Non-Opioid or Opioid Analgesics(ULTRACET ER SEMI TAB)) 1. Polmacoxib (preventive Acelex cap 2mg) administration, Method: One tablet orally once daily, regardless of meals.

    Drug: Experimental(Acelex cap m2mg)

  • Active comparator
    Active Comparator(NSAIDs-excluded non-opioid or opioid analgesics)

    Control Group (Administration of Non-NSAID Non-Opioid or Opioid Analgesics(ULTRACET ER SEMI TAB)) 1. Non-NSAID Non-Opioid or Opioid Analgesics(ULTRACET ER SEMI TAB), Administration Method: PRN

    Drug: Active Comparator(NSAIDs-excluded non-opioid or opioid analgesics)

Interventions

  • DrugExperimental(Acelex cap m2mg)

    Experimental Arm (Polmacoxib (Acelex cap 2mg + NSAIDs-excluded non-opioid or opioid analgesics)) Polmacoxib (preventive Acelex cap 2mg) administered, dosage: 1 tablet orally once daily, regardless of meals. NSAIDs-excluded non-opioid or opioid analgesics, dosage: as needed (PRN).

  • DrugActive Comparator(NSAIDs-excluded non-opioid or opioid analgesics)

    NSAIDs-excluded non-opioid or opioid analgesics, dosage: as needed (PRN).

06

What researchers measure

Primary outcomes

  1. Primary Outcome Measure-Cumulative administration frequency of narcotic analgesics (e.g., Fentanyl injection), excluding NSAIDs

    Postoperative pain in subjects is managed during the hospital stay by administering non-narcotic or narcotic analgesics, excluding NSAIDs (e.g., Fentanyl injection). Pain levels are assessed by collecting data on the frequency of administration.

    Time frame: At postoperative day 3

Secondary outcomes

  1. Secondary Outcome Measure-Cumulative number of doses of non-opioid analgesics excluding NSAIDs

    - Cumulative number of doses of non-opioid analgesics excluding NSAIDs (e.g., Ultracet)

    Time frame: - 3 days post-surgery - 2 weeks post-surgery - 6 weeks post-surgery - 12 weeks post-surgery

  2. Secondary Outcome Measure-Range of Motion (ROM)

    Range of Motion (ROM)

    Time frame: 1 day before surgery, 12 weeks post-surgery

  3. Secondary Outcome Measure-Rotator cuff re-tear status

    Rotator cuff re-tear status

    Time frame: 12 weeks post-surgery

  4. Secondary Outcome Measure

    * VAS pain scale * The VAS pain scale can be expressed using 11 levels, represented by numbers from 0 to 10. In this case, the patient selects a number that corresponds to the intensity of the pain they are experiencing, ranging from 0 (no pain) to 10 (the worst imaginable pain). The meaning of each number is as follows: 0: No pain 1-3: Mild pain 4-6: Moderate pain 7-9: Severe pain 10: Worst possible pain

    Time frame: - 1 day before surgery - 2 weeks post-surgery - 6 weeks post-surgery - 12 weeks post-surgery

  5. Primary Outcome Measure-ASES score

    * ASES Score * The ASES Score (American Shoulder and Elbow Surgeons Score) is a standardized tool used to assess shoulder function and pain. It provides an objective measurement of shoulder conditions and treatment outcomes by evaluating both subjective pain and functional status. The ASES score consists of two key components: Pain Assessment: Patients rate their pain intensity on a numeric scale from 0 to 10, where 0 means no pain and 10 indicates severe pain. Functional Assessment: It includes 10 questions that evaluate daily shoulder and arm function. Each question is scored from 0 to 3, and this component plays a crucial role in assessing the patient\'s ability to perform daily activities. The final ASES score is calculated on a scale of 0 to 100, with higher scores indicating better shoulder function and less pain. This score helps healthcare professionals monitor shoulder conditions and evaluate treatment effectiveness.

    Time frame: 1 day before surgery, 12 weeks post-surgery

  6. Secondary Outcome Measure-UCLA score

    * UCLA Score * The UCLA Shoulder Rating Scale is a standardized tool used to assess shoulder function and pain. It is commonly utilized to evaluate postoperative outcomes or to diagnose shoulder-related conditions. The UCLA score is based on five components, totaling a maximum of 35 points: Pain (10 points): Evaluates the intensity of the patient\'s pain. Function (10 points): Assesses the patient\'s ability to use the shoulder in daily activities. Range of Motion (5 points): Measures the range of motion in the shoulder. Strength (5 points): Assesses the strength of the shoulder and arm. Patient Satisfaction (5 points): Evaluates how satisfied the patient is with their shoulder condition. Score Interpretation: 34-35 points: Excellent 28-33 points: Good 21-27 points: Fair 20 points or below: Poor The UCLA score provides a comprehensive assessment of shoulder pain and function, making it particularly useful for tracking recovery after procedures like arthroscopic shoul

    Time frame: 1 day before surgery, 12 weeks post-surgery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

09

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

Started Aug 2024 (actual). Primary completion is estimated for Aug 2025, 11 months after the start.

Of 228 non-industry interventional studies with no phase under Rotator Cuff Injuries, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 39. This study's planned 11 months is below that.

Counting every sponsor, half of 252 studies reached it within 23 months; a quarter within 11 and three quarters within 44.

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

Registered
Sep 4, 2024
First posted
Sep 19, 2024
StartActual
Aug 23, 2024
Primary completionEst.
Aug 22, 2025
CompletionEst.
Aug 31, 2025
Last update
Sep 19, 2024
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 Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06590714
Lead sponsor
Eulji University Hospital
Responsible party
Jae-Man Kwak (Assistant Professor of Orthopedics, Eulji University Hospital) — Principal investigator
First posted
Sep 19, 2024
Start date
Aug 23, 2024
Primary completion
Aug 22, 2025 (estimated)
Completion
Aug 31, 2025 (estimated)
Last update
Sep 19, 2024

Study contacts

JAEMAN KWAK
Contact
jman.kwak@gmail.com
+82 10-2300-6237
SUIN JEONG
Contact
jeongsuin0622@gmail.com
+82 10-7121-9335

Oversight

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

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