RECRUITING

Personalized Postoperative Pain Management Following Thoracic Surgery in Adults

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The proposed research is an important extension of an ongoing perioperative personalized analgesia and intravenous opioid pharmacogenetic research. This research focuses on two of the most commonly used oral opioid analgesics, oxycodone, and methadone, in adults following thoracic surgery. Major inpatient thoracic surgeries (TS) for lung disease are common and extremely painful surgeries and are associated with sever post-surgical pain, high incidence of chronic post-surgical pain (CPSP), excess opioid use, costly immediate postoperative opioid adverse events (AEs), and long hospital stays. This study is aiming to develop proactive risk prediction algorithms for precision surgical pain relief in adult TS patients through comparison of actual clinical outcomes with standard of care to predicted outcomes based on personalized risk assessments.

Official Title

Pharmacogenetics and Pharmacokinetics of Oxycodone to Personalize Postoperative Pain Management Following Thoracic Surgery in Adults

Quick Facts

Study Start:2023-11-30
Study Completion:2028-03-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05525923

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 99 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * \>18 years
  2. * American Society of Anesthesiologists (ASA) Physical Status 1, 2, 3
  3. * Undergoing thoracic surgery (TS; pneumonectomy, lobectomy and segmentectomy)
  1. * Children (\<18 years)
  2. * Pregnant women
  3. * American Society of Anesthesiologists (ASA) Physical Status 4 or above
  4. * Non-English speaking
  5. * Outpatient surgery
  6. * Concomitant additional surgical procedures
  7. * Significant liver and kidney dysfunction
  8. * Significant cardiorespiratory compromise
  9. * Patients with polysubstance use (e.g., cocaine, marijuana, amphetamine, etc.)

Contacts and Locations

Study Contact

Amy Monroe, MPH, MBA
CONTACT
412-623-6382
monroeal@upmc.edu
Alisha Maslanka, BS
CONTACT
412-864-6779
maslankaaa@upmc.edu

Principal Investigator

Kathirvel Subramaniam, MD, MPH
PRINCIPAL_INVESTIGATOR
University of Pittsburgh

Study Locations (Sites)

UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania, 15213
United States
UPMC Mercy Hospital
Pittsburgh, Pennsylvania, 15219
United States
UPMC Shadyside Hospital
Pittsburgh, Pennsylvania, 15232
United States
UPMC Passavant Hospital
Pittsburgh, Pennsylvania, 15237
United States

Collaborators and Investigators

Sponsor: OpalGenix, Inc

  • Kathirvel Subramaniam, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Pittsburgh

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-11-30
Study Completion Date2028-03-01

Study Record Updates

Study Start Date2023-11-30
Study Completion Date2028-03-01

Terms related to this study

Keywords Provided by Researchers

  • Pain Management
  • Opioid Use

Additional Relevant MeSH Terms

  • Thoracic Surgery
  • Pneumonectomy
  • Lobectomy
  • Segmentectomy