Pregabalin on Interleukin-6 Levels in Living Donor Kidney
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Purpose
Pregabalin, a ligand for alfa2delta subunits of voltage-gated calcium channels, has been shown to be an effective adjuvant therapy for acute postoperative pain, by inhibiting central sensitization. The IL-6, is detectable 60 minutes after surgical incision, persisting for until 10 days, with maximal plasmatic level in 4 and 6 hours. The objective of this study is evaluating the analgesic effect of pregabalin and its repercussion on serum levels of IL6.
| Condition | Intervention | Phase |
|---|---|---|
|
Pain |
Drug: Pregabalin Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Effect of Preoperative Pregabalin on Pain Intensity and Interleukin-6 Levels in Living Donor Kidney |
- Effect of preoperative pregabalin on pain intensity in living donor kidney [ Time Frame: first 24 hours after surgery ] [ Designated as safety issue: Yes ]
- Effect of preoperative pregabalin on interleukin-6 levels in living donor kidney [ Time Frame: first 24 hours after surgery ] [ Designated as safety issue: Yes ]
| Enrollment: | 40 |
| Study Start Date: | March 2011 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: pregabalin 300mg
Group 1 patients will receive a single dose of 300 mg pregabalin, 1 hour before the surgical incision; group 2 patients will receive a placebo dose. Pain intensity will be assessed with the numeric rating scale. The consumption of tramadol in 24 hours after surgery and the time for the first complementation dose will be registered. Blood samples will be collected by 6 hours and 24 hours after surgical incision, for IL-6 dosage, and maintained at -70 celsus degree
|
Drug: Pregabalin
Effect of Preoperative Pregabalin on Pain Intensity. 300mg of pregabalin before surgical incision
Other Names:
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|
Placebo Comparator: sugar pill
group 2 will receive a placebo dose, 1 hour before tue surgical icnision
|
Drug: Placebo
placebo
|
Detailed Description:
After approved by the Ethical Committee and signed informed consent, 40 patients aged from 18 until 60 years undergoing nephrectomy will be randomized in two groups. Group 1 patients will receive a single dose of 300 mg pregabalin, 1 hour before the surgical incision; group 2 patients will receive a placebo dose. Pain intensity will be assessed with the numeric rating scale. The consumption of tramadol in 24 hours after surgery and the time for the first complementation dose will be registered. Blood samples will be collected by 6 hours and 24 hours after surgical incision, for IL-6 dosage, and maintained at -70 celsus degree. The IL-6 dosages will be performed by the ELISA (enzyme-linked immunosorbent assay) method. The number of patients was calculated by Instat Graph® program. To detect difference in pain intensity of 3 between the groups by NRS, with 95% of power (estimated SD= 2.0), when the alpha level is set at 0.05, the sample should be of 20. Statistical analyses will be performed with parametric and nonparametric tests, considering the variety studied. The statistical program that will be utilized is Instat Graph®.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- living donor kidney
Exclusion Criteria:
- myocardial ischemia
- psychiatric disease
- absence of chronic pain
- absence of drugs dependency
- don´t use of opioid medication 1 week before surgery
Contacts and Locations
More Information
Publications:
| Responsible Party: | Ana Ellen de Queiroz Santiago, medical resident, principal investigator, Federal University of São Paulo |
| ClinicalTrials.gov Identifier: | NCT01529190 History of Changes |
| Other Study ID Numbers: | pregabalin |
| Study First Received: | October 3, 2011 |
| Last Updated: | February 7, 2012 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Federal University of São Paulo:
|
pregabalin postoperative pain control interleukin-6 acute pain |
Additional relevant MeSH terms:
|
Pregabalin Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs |
Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Anticonvulsants |
ClinicalTrials.gov processed this record on May 22, 2013