Comparing Analgesic Regimen Effectiveness and Safety for Surgery (CARES) Trial
Sponsor: University of Michigan • ClinicalTrials.gov ID: NCT05722002
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This trial is being completed to compare two commonly used options to treat pain after surgery. Participants that undergo gallbladder removal, hernia repair, and breast lump removal will be eligible to enroll. Eligible participants will be randomized to 1 of 2 groups of medications (Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) plus acetaminophen or low dose opioids plus acetaminophen). It is anticipated that the NSAID group will have superior clinical outcomes and fewer side effects when compared to the opioid group.
Interventions
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NSAID
(Drug)
Once randomized to this group the surgical team will elect for 1 of the following treatment options to be given: * Ibuprofen 600 milligram (mg) by mouth every six hours as needed for pain (10 doses) * Celecoxib 400 mg by mouth once then 200 mg every twelve hours as needed for pain (10 doses) * Naproxen 500 mg by mouth once then 250 mg by mouth every eight hours as needed for pain (10 doses)
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Opioid
(Drug)
Once randomized to this group the surgical team will elect for 1 of the following treatment options to be given: * Oxycodone 5 mg by mouth every four to six hours as needed for pain, 10 doses * Morphine 7.5 mg by mouth every four to six hours as needed for pain, 10 doses * Hydromorphone 2 mg by mouth every four to six hours as needed for pain, 10 doses
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Acetaminophen
(Drug)
Acetaminophen 1000 mg by mouth every 6 hours around the clock for the first three days after surgery then as needed thereafter (20 doses).
Eligibility criteria
Conditions
Locations
- University of Michigan — Ann Arbor, Michigan, United States
- Henry Ford Health System — Detroit, Michigan, United States
- Washington University in Saint Louis — St Louis, Missouri, United States
- Cooper University Health Care — Camden, New Jersey, United States
- University of North Carolina Hospitals — Chapel Hill, North Carolina, United States
- Temple University - Temple Health — Philadelphia, Pennsylvania, United States
- Women's College Hospital — Toronto, Ontario, Canada
- Unity Health Toronto — Toronto, Ontario, Canada
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Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.
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