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Not yet recruitingNCT07825142ARK-PCNLUpdated Sep 17, 2026

A Randomized, Double-Blind, Placebo-Controlled Trial of Anrikefon for Postoperative Analgesia After Percutaneous Nephrolithotomy

A Phase 4 interventional study of 0.9% Sodium Chloride Injection as Placebo and Anrikefon in Postoperative Pain and Nephrolithiasis, sponsored by Beijing Tsinghua Chang Gung Hospital. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Beijing Tsinghua Chang Gung Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study evaluates whether a single dose of anrikefon, given intravenously shortly before the end of kidney stone removal surgery (PCNL), can reduce opioid-related side effects such as nausea, vomiting, itching, oversedation, and breathing problems in the first 24 hours after surgery. All participants receive the same standard pain control regimen (flurbiprofen axetil plus a sufentanil patient-controlled pump). In addition, half receive anrikefon and half receive a placebo (saline), decided by random allocation, with neither patients nor doctors knowing who receives which. A total of 160 adults (18-75 years) undergoing elective PCNL at Beijing Tsinghua Changgung Hospital will take part. Pain scores, opioid use, recovery, satisfaction, kidney function and side effects will be followed for up to 3 days after surgery.

02

Conditions studied

  • Postoperative Pain
  • Nephrolithiasis

Keywords

  • Anrikefon
  • Percutaneous Nephrolithotomy
  • PCNL
  • Opioid-related adverse events
  • Perioperative analgesia
  • Peripheral kappa opioid receptor agonist
  • Multimodal analgesia
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 160 is above the median of 75 across 4,821 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Beijing Tsinghua Chang Gung Hospital is the lead sponsor of 108 studies on the registry; 56 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Age 18-75 years, either sex
  • Scheduled elective unilateral percutaneous nephrolithotomy (PCNL) under general anesthesia (stone diameter >2 cm, meeting PCNL indications)
  • I-III
  • (BMI) 18-35 kg/m2
  • Preoperative estimated (eGFR) >=60 mL/min/1.73 m2
  • Resting pain NRS score \<=2 within 24 h before surgery
  • Voluntary participation with written signed by the patient
  • Ability to cooperate with postoperative pain assessment, follow-up and examinations

Exclusion criteria

Exclusion Criteria:

  • Allergy to anrikefon, sufentanil, flurbiprofen axetil or their
  • Use of opioids, NSAIDs, or other analgesics within 7 days before surgery
  • Renal dysfunction ( \<60 mL/min/1.73 m2) or severe hepatic dysfunction (/AST >3 times )
  • Severe cardiovascular or respiratory disease (e.g., , respiratory failure)
  • History of gastrointestinal ulcer or bleeding, or coagulation disorders
  • Pregnant or lactating women
  • History of cognitive impairment or drug/alcohol dependence
  • Concurrent participation in other clinical trials
Terms in these criteria, in plain language(9)

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.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Anrikefon

    Anrikefon 0.1 mg IV (diluted to 5 mL) 15-30 min before the end of surgery, added to standard multimodal analgesia: flurbiprofen axetil 50 mg IV plus sufentanil PCIA.

    Drug: Anrikefon

  • Placebo comparator
    Placebo

    0.9% saline 5 mL IV 15-30 min before the end of surgery, identical in appearance, added to the same standard multimodal analgesia: flurbiprofen axetil 50 mg IV plus sufentanil PCIA.

    Drug: 0.9% Sodium Chloride Injection as Placebo

Interventions

  • Drug0.9% Sodium Chloride Injection as Placebo

    5 mL IV, administered 15-30 min before the end of surgery; identical in appearance to anrikefon; used as placebo comparator.

  • Single IV dose of anrikefon 0.1 mg diluted to 5 mL with 0.9% saline, administered 15-30 min before the end of surgery.

06

What researchers measure

Primary outcomes

  1. Incidence of composite opioid-related adverse events (ORAEs) within 24 h after surgery

    Time frame: Postoperative hours 0-6, 6-12, and 12-24; composite endpoint assessed over the 24-hour period immediately after surgery

Secondary outcomes

  1. Cumulative sufentanil consumption

    Time frame: Postoperative hours 0-24 and 24-48

  2. Pain intensity by numeric rating scale (NRS), 0-10 score

    Time frame: Postoperative hours 0.5, 1, 2, 4, 8, 12, and 24

  3. Total and effective patient-controlled analgesia (PCA) bolus counts (number)

    Time frame: Within the first 24 hours after surgery

  4. PCA effective bolus ratio (%)

    Time frame: Within the first 24 hours after surgery

  5. Rate of patients requiring rescue analgesia (%)

    Time frame: Within the first 24 hours after surgery

  6. Number of rescue analgesic doses (count)

    Time frame: Within the first 24 hours after surgery

  7. Time to first flatus (hours)

    Time frame: From surgery until the date of first documented flatus, assessed up to 7 days after surgery

  8. Time to first ambulation (hours)

    Time frame: From surgery until the date of first ambulation, assessed up to 7 days after surgery

  9. Duration of postoperative hospital stay (days)

    Time frame: From surgery until the date of hospital discharge, assessed up to 7 days after surgery

  10. Analgesia satisfaction score (0-10)

    Time frame: At postoperative hour 24

  11. Serum creatinine and blood urea nitrogen (mg/dL)

    Time frame: Baseline (preoperative) and at postoperative hours 24, 48, and 72

  12. Estimated glomerular filtration rate (eGFR, mL/min/1.73 m²)

    Time frame: Baseline (preoperative) and at postoperative hours 24, 48, and 72

  13. Incidence of acute kidney injury per KDIGO criteria (%)

    Time frame: Baseline (preoperative) through postoperative hour 72

  14. Incidence of adverse events (%)

    Time frame: From study drug administration through postoperative hour 72

  15. Area under the curve of NRS scores over 24 hours (AUC₀-₂₄ₕ, score-hours)

    Time frame: Postoperative hours 0-24

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared due to patient privacy considerations; de-identified aggregate results will be published in peer-reviewed journals.

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 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07825142
Responsible party
Zhifeng Gao (Chief Physician, Department of Anesthesiology, Beijing Tsinghua Chang Gung Hospital) — Principal investigator
First posted
Sep 17, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
Jul 1, 2029 (estimated)
Completion
Dec 30, 2029 (estimated)
Last update
Sep 17, 2026

Study contacts

Haotian Wu, MD
Contact
tatabox@163.com
+86 17600809297

Oversight

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

Not currently enrolling

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Discussion

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Studies of the drug tested here: Anrikefon

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