ClinicalTrials.gg
Not yet recruitingNCT07935252Updated Nov 13, 2026

Prolonged Multimodal Analgesia for Postsurgical Pain

An interventional study of Esketamine, dexmedetomidine, pregabalin and Sufentanil in Acute and Chronic Postsurgical Pain, sponsored by Beijing Tiantan Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Beijing Tiantan Hospital · Not applicable, Interventional, and Treatment

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 28 studies in Pain, Postoperative by Beijing Tiantan Hospital — 8 open to participants now, 9 under way, 1 of them phase 3. Pain, Postoperative · Beijing Tiantan Hospital.

Planned enrollment
15th of 28
132 · median 136
Started
2026
with 5 others
No phase
11 of 28
6 open now
Registered
25th of 28
by date

Among the 28 studies in Pain, Postoperative by Beijing Tiantan Hospital, this one is the 15th largest by planned enrollment, is one of 6 that started in 2026, is one of 11 with no phase, and was the 25th registered.

Pain, Postoperative

5,648 studies on the registry are indexed under Pain, Postoperative; 1,229 are open to participants now.

Browse Pain, Postoperative studies →

Open to participants now

8 of the 28 studies in Pain, Postoperative by Beijing Tiantan Hospital are open now, in 1 country. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Where they have run

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 →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 28 studies in Pain, Postoperative by Beijing Tiantan Hospital, or all of them as a file.
02

Study summary

Chronic pain is one of the common postoperative complications in major surgery patients, which seriously affects the prognosis of patients. The postoperative pain level in spinal cord surgery patients is severe, and the incidence of CPSP can be as high as 40%.

Prolonged multimodal analgesia strategies using non-opioid or low-opioid receptor agonists can safely extend the postoperative pain window to one month, thereby further avoiding the occurrence of chronic postoperative pain.

This study provides guidance for perioperative pain management strategies in spinal surgery patients and further improves their long-term prognosis and outcomes.

03

Conditions studied

  • Acute and Chronic Postsurgical Pain

Browse trials for

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

  1. Age ≥ 18 years;
  2. Scheduled for elective spinal surgery;
  3. (ASA) physical status I-III;
  4. Presence of preoperative pain symptoms;
  5. Provision of written .

Exclusion criteria

Exclusion Criteria:

  1. History of allergy to gabapentinoids, ketamine, or related medications;
  2. Inability to cooperate with scale assessments due to conditions such as aphasia;
  3. Presence of psychiatric disorders;
  4. Presence of significant organ dysfunction (heart, lung, liver, or kidney) meeting any of the following criteria;
  5. Presence of severe sinus bradycardia or other comorbidities rendering the patient unsuitable for completing the study intervention;
  6. History of illicit drug or medication abuse;
  7. (BMI) ≥ 35 kg/m²;
  8. Pregnant or lactating patients.
Terms in these criteria, in plain language(3)

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
132 participants (estimated)

Study arms

  • Experimental
    Prolonged Multimodal Analgesia Group

    Pre-operative (1 hour): pregabalin 150mg; Intraoperative: Esketamine 0.09 mg/kg/h pumping; Post-operative: Esketamine combined with dexmedetomidine PCA: the esketamine dosage is 0.06 mg/kg/h, dexmedetomidine dosage is 1.5 μg/kg, and the PCA pump is used for 48 hours; Pregabalin 75 mg bid in 1-7 days and Pregabalin 75 mg qd in 8-21days. The anesthesiologist may adjust the drug dosage as appropriate based on the patient's condition, and all medications administered must be documented in detail. drugs:Esketamine, dexmedetomidine, pregabalin device:Patient Controlled Analgesia(PCA)

    Drug: Esketamine, dexmedetomidine, pregabalin

  • Active comparator
    Conventional Analgesia Group

    The participant will be administrated by Sulfentanil PCA (1.5μg/kg) in postoperative 48h. The anesthesiologist may adjust the drug dosage as appropriate based on the patient's condition, and all medications administered must be documented in detail.

    Drug: Sufentanil

Interventions

  • DrugEsketamine, dexmedetomidine, pregabalin

    Pre-operative (1 hour): pregabalin 150mg; Intraoperative: Esketamine 0.09 mg/kg/h pumping; Post-operative: Esketamine combined with dexmedetomidine PCA: the esketamine dosage is 0.06 mg/kg/h, dexmedetomidine dosage is 1.5 μg/kg, and the PCA pump is used for 48 hours; Pregabalin 75 mg bid in 1-7 days and Pregabalin 75 mg qd in 8-21days. The anesthesiologist may adjust the drug dosage as appropriate based on the patient's condition, and all medications administered must be documented in detail. drugs:Esketamine, dexmedetomidine, pregabalin device:Patient Controlled Analgesia(PCA)

  • Using sufentanil PCA pump for 48 h. The sufentanil dosage is 1.5μg/kg. The anesthesiologist may adjust the drug dosage as appropriate based on the patient's condition, and all medications administered must be documented in detail. drugs:sufentanil device: Patient Controlled Analgesia(PCA)

06

What researchers measure

Primary outcomes

  1. Incidence of moderate-to-severe chronic pain at 3 months postoperatively

    Time frame: postoperative 3 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Of 2,094 non-industry interventional studies with no phase under Pain, Postoperative, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 23. This study's planned 13 months is above that.

Counting every sponsor, half of 2,107 studies reached it within 11 months; a quarter within 6 and three quarters within 23.

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

Registered
Dec 20, 2025
First posted
Nov 13, 2026
StartEst.
Nov 10, 2026
Primary completionEst.
Dec 30, 2027
CompletionEst.
Apr 1, 2028
Last update
Nov 13, 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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07935252
Responsible party
Ruquan Han (Dr., Beijing Tiantan Hospital) — Principal investigator
First posted
Nov 13, 2026
Start date
Nov 10, 2026 (estimated)
Primary completion
Dec 30, 2027 (estimated)
Completion
Apr 1, 2028 (estimated)
Last update
Nov 13, 2026

Study contacts

Zhou Yang, Medical Doctor
Contact
weiru1991@hotmail.com
59976660

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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