ClinicalTrials.gg
RecruitingNCT07810816Updated Sep 9, 2026

Prospective Pharmacogenetic Cohort Study of CYP2D6 Metabolizer Phenotype, Analgesic Failure, and Adverse Effects in Postoperative Patients Receiving Tramadol by Elastomeric Infusion Pump

An observational study in Acute Postoperative Pain, Tramadol Adverse Effect and Pharmacogenetic Variation, sponsored by Research Inc. Recruiting at 1 site in Colombia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Research Inc · Observational

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 19 studies in Pain, Postoperative with a site in Colombia — 4 open to participants now, 4 under way, none of them phase 3. Pain, Postoperative · Colombia.

Started
2023
with 1 other
Observational
5 of 19
3 open now
Registered
18th of 19
by date
Lead sponsor
2 of 19
Research Inc

Among the 19 studies in Pain, Postoperative with a site in Colombia, this one is one of 2 that started in 2023, is one of 5 observational ones, and was the 18th registered.

Pain, Postoperative

5,644 studies on the registry are indexed under Pain, Postoperative; 1,229 are open to participants now.

Browse Pain, Postoperative studies →

Open to participants now

4 of the 19 studies in Pain, Postoperative with a site in Colombia are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Colombia have not opened yet or have stopped. Only those recruiting at a site in Colombia →

Who these studies take

Of the 678 Pain, Postoperative studies recruiting now, 241 (36%) set no upper age limit and 328 (48%) stop at 75 or younger; 74 take children under 18; 128 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Pain, Postoperative with a site in Colombia, or all of them as a file.
02

Study summary

This prospective pharmacogenetic cohort will enroll postoperative patients receiving a standardized tramadol-containing elastomeric analgesia pump. CYP2D6 genotype will be measured but will not determine treatment during the 72-hour study window. Participants with non-normal metabolizer phenotypes will be compared with normal metabolizers for analgesic treatment failure and adverse effects. Pain, rescue medication, pump discontinuation, sedation, respiratory status, nausea/vomiting, and other adverse events will be assessed at prespecified times.

Read the detailed description

All participants will receive the same institutional tramadol pump regimen as routine postoperative care. A preoperative or immediate postoperative sample will undergo CYP2D6 genotyping, including copy-number assessment under the validated laboratory method. Pain and adverse effects will be recorded repeatedly through 72 hours while clinical care remains unrestricted. The primary analysis compares any non-normal phenotype with normal metabolizers, as proposed by the investigator. Because reduced- and increased-function phenotypes may affect different outcomes, separate poor/intermediate and rapid/ultrarapid analyses are prespecified. Models will account for CYP2D6 inhibitors, organ function, surgical procedure, anesthesia, and concomitant analgesia.

03

Conditions studied

  • Acute Postoperative Pain
  • Tramadol Adverse Effect
  • Pharmacogenetic Variation

Keywords

  • CYP2D6
  • Tramadol
  • Pharmacogenetics
  • Analgesic Failure
  • Adverse Drug Reaction
  • Postoperative Pain
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults undergoing elective surgery who receive a standardized tramadol-containing elastomeric analgesia pump and consent to CYP2D6 genotyping.

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

  • Elective surgery followed by the institution's standardized tramadol-containing elastomeric analgesia pump.
  • Ability to report pain on a 0-to-10 numeric rating scale.
  • Provision of a blood or buccal sample for CYP2D6 genotyping before or immediately after surgery.
  • Written for genetic testing, storage of genotype data, and clinical follow-up.

Exclusion criteria

Exclusion Criteria:

  • Known tramadol allergy or .
  • Chronic opioid therapy, opioid use disorder, or opioid tolerance requiring an individualized regimen.
  • Severe renal or hepatic dysfunction outside the standardized pump eligibility criteria.
  • Concomitant medication or condition that requires deviation from the standard pump before the first outcome assessment.
  • Pregnancy or breastfeeding.
  • Inability to provide reliable pain scores or complete 72-hour monitoring.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Target follow-up
1 Month
Patient registry
Yes

Groups and cohorts

  • Non-Normal CYP2D6 Phenotype

    Participants classified by the validated assay as poor or ultrarapid metabolizers. Phenotype-specific subgroups will be analyzed separately.

    Drug: Standardized Tramadol Elastomeric Analgesia Pump · Genetic: CYP2D6 Genotyping and Metabolizer Phenotype Assignment

  • Normal CYP2D6 Metabolizer

    Participants classified as normal metabolizers by the prespecified genotype-to-phenotype translation algorithm.

    Drug: Standardized Tramadol Elastomeric Analgesia Pump · Genetic: CYP2D6 Genotyping and Metabolizer Phenotype Assignment

Interventions

  • DrugStandardized Tramadol Elastomeric Analgesia Pump

    All participants receive the same institutionally approved tramadol-based pump formulation, basal rate, duration, and allowed co-analgesics as routine care. Exact concentration, total dose, infusion rate, rescue regimen, and stopping criteria must be inserted in the final protocol. Linked arm/group(s): Non-Normal CYP2D6 Phenotype, Normal CYP2D6 Metabolizer.

  • GeneticCYP2D6 Genotyping and Metabolizer Phenotype Assignment

    A validated clinical assay will detect prespecified CYP2D6 alleles and copy-number variation. Genotypes will be translated to activity score and metabolizer phenotype using a locked laboratory algorithm. Results will remain unavailable to the care team during the 72-hour observational window unless the ethics-approved safety plan requires disclosure. Linked arm/group(s): Non-Normal CYP2D6 Phenotype, Normal CYP2D6 Metabolizer.

06

What researchers measure

Primary outcomes

  1. Incidence of Analgesic Treatment Failure

    Proportion of participants with at least one prespecified failure criterion: pain score 4 or higher at two consecutive scheduled assessments despite protocol-allowed adjustment, rescue opioid above the locked threshold, premature pump discontinuation for inadequate analgesia, or replacement by another analgesic technique.

    Time frame: 1 week

Secondary outcomes

  1. Incidence of Tramadol-Related Adverse Effects

    Proportion with treated nausea/vomiting, excessive sedation, respiratory depression, dizziness, pruritus, confusion, hallucinations, or another event adjudicated as probably or definitely related to tramadol.

    Time frame: 1 week

  2. Phenotype-Specific Composite Outcome

    Separate estimates for poor/intermediate, normal, and rapid/ultrarapid metabolizers for analgesic failure and adverse-effect outcomes; these analyses address the expected opposite directions of reduced and increased CYP2D6 activity.

    Time frame: 1 week

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Ruano G, Kost JA. Fundamental Considerations for Genetically-Guided Pain Management with Opioids Based on CYP2D6 and OPRM1 Polymorphisms. Pain Physician. 2018 Nov;21(6):E611-E621. PubMed 30508992 ↗
  • Zahari Z, Ismail R. Influence of Cytochrome P450, Family 2, Subfamily D, Polypeptide 6 (CYP2D6) polymorphisms on pain sensitivity and clinical response to weak opioid analgesics. Drug Metab Pharmacokinet. 2014;29(1):29-43. doi: 10.2133/dmpk.dmpk-13-rv-032. Epub 2013 Jun 11. PubMed 23759977 ↗
  • Gan SH, Ismail R, Wan Adnan WA, Zulmi W. Impact of CYP2D6 genetic polymorphism on tramadol pharmacokinetics and pharmacodynamics. Mol Diagn Ther. 2007;11(3):171-81. doi: 10.1007/BF03256239. PubMed 17570739 ↗
  • Cavallari LH, Myers RA, Chakraborty H, Skaar TC, Gray CF, Baye JF, Volpi S, Rider R, Cicali EJ, Elwood EN, Harris EC, Hines LJ, Nahid NA, Nguyen KA, Obeng AO, Parr JA, Ramos MA, Orlando LA, Prieto HA, Sadeghpour A, Singh R, Starostik P, Tillman EM, Wyatt C, Horowitz CR, Voora D, Blake KV, Parvataneni HK, Fillingim RB, Dexter PR, Peterson JF, Johnson JA; IGNITE Pragmatic Trials Network. CYP2D6-Guided Opioid Management and Postoperative Pain Control: A Randomized Clinical Trial. JAMA Netw Open. 2026 Feb 2;9(2):e2558299. doi: 10.1001/jamanetworkopen.2025.58299. PubMed 41719044 ↗
  • Mahajna M, Abu Fanne R, Odeh M, Berkovitch M, Tannous E, Eyal S, Vinker S, Green I, Matok I. Influence of cytochrome P450 2D6*10/*10 genotype on the risk for tramadol associated adverse effects: a retrospective cohort study. Front Pharmacol. 2024 Feb 19;15:1358549. doi: 10.3389/fphar.2024.1358549. eCollection 2024. PubMed 38440181 ↗
  • Percevault S, De La Gastine B, Varin L, Richard N, Fobe F, Plaud B, Daccache G, Compere V, Parienti JJ, Coquerel A, Loilier M, Bleyzac N, Bourguignon L, Lelong-Boulouard V, Goutelle S. Influence of CYP2D6 phenotype on the pharmacokinetics and pharmacodynamics of tramadol in patients treated for post-operative pain management. Anaesth Crit Care Pain Med. 2026 May;45(3):101781. doi: 10.1016/j.accpm.2026.101781. Epub 2026 Mar 4. PubMed 41791456 ↗

Individual participant data

Plan to share: No — no contempled in the patient informed concent

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

Ran from Jan 2023 to primary completion in Sep 2026, 43 months.

Of 395 observational studies under Pain, Postoperative, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 33. This study's 43 months is above that.

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

Registered
Sep 3, 2026
First posted
Sep 9, 2026
StartActual
Jan 12, 2023
Primary completionActual
Sep 1, 2026
CompletionEst.
Dec 1, 2026
Last update
Sep 9, 2026
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 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07810816
Lead sponsor
Research Inc
Responsible party
Sponsor
First posted
Sep 9, 2026
Start date
Jan 12, 2023
Primary completion
Sep 1, 2026
Completion
Dec 1, 2026 (estimated)
Last update
Sep 9, 2026

Study contacts

Edison Osorio, MD, Plastic surgeon
Contact
info@edisonosorio.com
+573226140611
Edison Osorio, MD, plastic surgery
principal investigator

Oversight

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

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