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Effect of Postoperative Single Dose of Ketamine on Pain After Mastectomy

Randomized, Single-blind, Placebo-controlled Study on the Effect of Postoperative Administration of Single Dose Ketamine After Mastectomy on Pain

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04831736
Enrollment
31
Registered
2021-04-05
Start date
2021-04-26
Completion date
2022-03-29
Last updated
2023-05-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Keywords

Mastectomy

Brief summary

This is a randomized, single blinded, placebo-controlled trial to study the effectiveness of a subanesthetic dose (0.6mg/kg) of ketamine versus placebo (saline) on postoperative pain on adult women undergoing mastectomy. The objective of the study is to examine the effect of a subanesthetic dose (0.6mg/kg) of ketamine vs. saline control on postoperative pain in subjects who have undergone mastectomy.

Interventions

DRUGKetamine

Ketamine at a dose of 0.6 mg/kg will be administered intravenously (IV) while the participant is recovering in the PACU. The study drug will be administered over at least 30 minutes at one time point and will be administered after subject has been deemed to be stable (hemodynamically stable, awake) by the study team on POD 0.

DRUGPlacebo

Matching equal dose of saline placebo will be administered intravenously while the participant is recovering in the PACU.

Sponsors

NYU Langone Health
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. Adult women, aged 18 to 80 years old, who will undergo mastectomy. 2. Willing to comply with all study procedures and be available for the duration of the study. 3. Will be scheduled for elective breast surgery for oncologic indication as follows: mastectomy +/- lymph node dissection, prophylactic mastectomy, unilateral or bilateral, with immediate reconstruction 4. No distant metastases. 5. Subject is American Society of Anesthesiologists (ASA) physical status 1, 2, or 3. 6. Subject is medically stable.

Exclusion criteria

1. Cognitive impairment (by history) or clinical signs of altered mental status such as confusion, amnesia, disorientation, fluctuating levels of alertness, etc. that may interference with adherence to study procedures and/or participant safety. 2. Past ketamine or phencyclidine misuse or abuse. 3. Schizophrenia or history of psychosis. 4. Known sensitivity or allergy to ketamine. 5. Liver or renal insufficiency. 6. History of uncontrolled hypertension, chest pain, cardiac arrythmia, stroke, head trauma, intracranial mass or hemorrhage or pressure, glaucoma, acute globe injury, uncontrolled thyroid disease, porphyria, or any other contraindication to ketamine. Use of lamotrigine, alfentanil, physostigmine, and 4-aminopyridine are contraindicated 7. Pregnancy or nursing women 8. BMI\>35. 9. Currently participating in another pain interventional trial. 10. Unwillingness to give informed consent. 11. Non-English speaking patients as QoR-15 and BCPQ have not been validated in all other languages

Design outcomes

Primary

MeasureTime frameDescription
Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score24 Hours Post-Op (Day 2)BPI Pain Severity Subscale consists of 4 questions (asking to rate pain). Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.

Secondary

MeasureTime frameDescription
Brief Pain Inventory-short Form (BPI) Pain Interference Subscale ScoreBaseline (Day 0)BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference.
Total Dosage of Opioid UseDay of Surgery (Day 1)Use and dosage will be assessed through medical records and subject reports.
Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily ScoreBaseline (Day 0)The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue.
Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) ScoreBaseline (Day 0)The PROMIS Sleep Disturbance Short Form consists of 6 items assessing sleep disturbance. Each question is answered with a score of 1-5 (varies). The raw score is the sum of each item and ranges from 6-30. The raw score is converted to a T-score ranging from 31.7 to 76.1, with a standard deviation of 10. Higher T-scores indicate greater sleep disturbance.
Brief Pain Inventory-short Form (BPI) Pain Severity Subscale ScoreBaseline (Day 0)BPI Pain Severity Subscale is a 4-item questionnaire asking participants to rate pain. Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.
Breast Cancer Pain Questionnaire (BCPQ) - Pain ScoreDay 7 Post-Op (Day 8)If the patient reports pain in the area of the breast, armpit, side of the body, or arm on the side of operation, the patient will be asked to report level of pain (0 is no pain and 10 is the worst pain imaginable). For each location, the total score is 0-10; the higher the score, the worse the pain. The total score is the sum of responses from each location.
Quality of Recovery (QoR-15) Survey ScoreDay 2 Post-Op (Day 3)Part A of QoR-15 consists of 10 conditions. Based on how the patient has been feeling in the last 24 hours, they will respond to each condition using an 11-point Likert scale ranging from 0 to 10, where 0 is none of the time \[poor\] and 10 is all of the time \[excellent\]). The total range of score for Part A is 0-100; the higher the score, the better the participant has been feeling. Part B consists of 5 symptoms. The patient will indicate whether they have experienced each symptom over the last 24 hours using an 11-point Likert scale ranging from 10 to 0, where 10 is none of the time \[excellent\] and 0 is all of the time \[poor\]). The total range of score for Part B is 0-50; the higher the score, the better the participant has been feeling. The total score is the sum of of scores from Parts A and B. Total scores range from 0-150; the higher the score, the better the participant has been feeling.
Number of Participants Who Experience Side EffectsDay of Surgery (Day 1)Side effects are calculated using a 7-item psycho-behavioral questionnaire. Participants indicate whether they have experienced any of the listed side effects of ketamine. The side effects listed on the questionnaire are not considered to be Adverse Events or Serious Adverse Events.
Generalized Anxiety Disorder (GAD-2) ScoreBaseline (Day 0)GAD-2 consists of 2 items and measures how often one has been bothered by anxiety-related problems. Each is answered with a score of 0 (not at all) to 3 (nearly every day). The total range of score is 0-6; the higher the score, the more frequent one is bothered by anxiety.

Countries

United States

Participant flow

Participants by arm

ArmCount
Treatment
Ketamine: Ketamine at a dose of 0.6 mg/kg will be administered intravenously (IV) while the participant is recovering in the PACU. The study drug will be administered over at least 30 minutes at one time point and will be administered after subject has been deemed to be stable (hemodynamically stable, awake) by the study team on POD 0.
15
Control
Placebo: Matching equal dose of saline placebo will be administered intravenously while the participant is recovering in the PACU.
15
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicTreatmentTotalControl
Age, Continuous48.9 years47.3 years46.5 years
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
15 Participants30 Participants15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants3 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants4 Participants4 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants3 Participants1 Participants
Race (NIH/OMB)
White
11 Participants20 Participants9 Participants
Region of Enrollment
United States
15 participants30 participants15 participants
Sex: Female, Male
Female
15 Participants30 Participants15 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 150 / 15
other
Total, other adverse events
0 / 150 / 15
serious
Total, serious adverse events
0 / 150 / 15

Outcome results

Primary

Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale consists of 4 questions (asking to rate pain). Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.

Time frame: 48 Hours Post-Op (Day 3)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score16 score on a scaleStandard Deviation 5.32
ControlBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score15.7 score on a scaleStandard Deviation 9.36
Primary

Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale consists of 4 questions (asking to rate pain). Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.

Time frame: 24 Hours Post-Op (Day 2)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score16.7 score on a scaleStandard Deviation 6.97
ControlBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score18.1 score on a scaleStandard Deviation 8.44
Secondary

Breast Cancer Pain Questionnaire (BCPQ) - Pain Score

If the patient reports pain in the area of the breast, armpit, side of the body, or arm on the side of operation, the patient will be asked to report level of pain (0 is no pain and 10 is the worst pain imaginable). For each location, the total score is 0-10; the higher the score, the worse the pain. The total score is the sum of responses from each location.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentBreast Cancer Pain Questionnaire (BCPQ) - Pain Score3.53 score on a scaleStandard Deviation 2.56
ControlBreast Cancer Pain Questionnaire (BCPQ) - Pain Score4.6 score on a scaleStandard Deviation 2.72
Secondary

Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference.

Time frame: Day 2 Post-Op (Day 3)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score33.5 score on a scaleStandard Deviation 12.5
ControlBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score32.1 score on a scaleStandard Deviation 15.5
Secondary

Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score33.9 score on a scaleStandard Deviation 18.3
ControlBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score32.9 score on a scaleStandard Deviation 15.1
Secondary

Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference.

Time frame: Baseline (Day 0)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score35 score on a scaleStandard Deviation 18.29
ControlBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score35 score on a scaleStandard Deviation 30.35
Secondary

Brief Pain Inventory-short Form (BPI) Pain Interference Subscale Score

BPI Pain Interference Subscale is a 7-item questionnaire asking participants to describe how pain has interfered during activities. Each question is answered on a scale 0 (does not interfere) to 10 (completely interferes). The total range of score is 0-70; the higher the score, the worse the interference.

Time frame: Day 1 Post-Op (Day 2)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score24.7 score on a scaleStandard Deviation 17.1
ControlBrief Pain Inventory-short Form (BPI) Pain Interference Subscale Score28.1 score on a scaleStandard Deviation 14.9
Secondary

Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale is a 4-item questionnaire asking participants to rate pain. Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score11.5 score on a scaleStandard Deviation 6.17
ControlBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score15 score on a scaleStandard Deviation 8.68
Secondary

Brief Pain Inventory-short Form (BPI) Pain Severity Subscale Score

BPI Pain Severity Subscale is a 4-item questionnaire asking participants to rate pain. Each question is answered on a scale 0 (no pain) to 10 (pain as bad as you can imagine). The total range of score is 0-40; the higher the score, the worse the pain.

Time frame: Baseline (Day 0)

ArmMeasureValue (MEAN)Dispersion
TreatmentBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score3.5 score on a scaleStandard Deviation 6.45
ControlBrief Pain Inventory-short Form (BPI) Pain Severity Subscale Score2.2 score on a scaleStandard Deviation 5.37
Secondary

Generalized Anxiety Disorder (GAD-2) Score

GAD-2 consists of 2 items and measures how often one has been bothered by anxiety-related problems. Each is answered with a score of 0 (not at all) to 3 (nearly every day). The total range of score is 0-6; the higher the score, the more frequent one is bothered by anxiety.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentGeneralized Anxiety Disorder (GAD-2) Score2.13 score on a scaleStandard Deviation 1.73
ControlGeneralized Anxiety Disorder (GAD-2) Score1.13 score on a scaleStandard Deviation 1.51
Secondary

Generalized Anxiety Disorder (GAD-2) Score

GAD-2 consists of 2 items and measures how often one has been bothered by anxiety-related problems. Each is answered with a score of 0 (not at all) to 3 (nearly every day). The total range of score is 0-6; the higher the score, the more frequent one is bothered by anxiety.

Time frame: Baseline (Day 0)

ArmMeasureValue (MEAN)Dispersion
TreatmentGeneralized Anxiety Disorder (GAD-2) Score2.47 score on a scaleStandard Deviation 1.77
ControlGeneralized Anxiety Disorder (GAD-2) Score1.87 score on a scaleStandard Deviation 2.07
Secondary

Number of Participants Who Experience Side Effects

Side effects are calculated using a 7-item psycho-behavioral questionnaire. Participants indicate whether they have experienced any of the listed side effects. The side effects listed on the questionnaire are not considered to be Adverse Events or Serious Adverse Events.

Time frame: Day 1 Post-Op (Day 2)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TreatmentNumber of Participants Who Experience Side Effects8 Participants
ControlNumber of Participants Who Experience Side Effects5 Participants
Secondary

Number of Participants Who Experience Side Effects

Side effects are calculated using a 7-item psycho-behavioral questionnaire. Participants indicate whether they have experienced any of the listed side effects of ketamine. The side effects listed on the questionnaire are not considered to be Adverse Events or Serious Adverse Events.

Time frame: Day of Surgery (Day 1)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TreatmentNumber of Participants Who Experience Side Effects7 Participants
ControlNumber of Participants Who Experience Side Effects7 Participants
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue.

Time frame: Day 1 Post-Op (Day 2)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score52.3 T-scoreStandard Deviation 13.1
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score53.6 T-scoreStandard Deviation 10.5
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue.

Time frame: Day 2 Post-Op (Day 3)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score56.6 T-scoreStandard Deviation 7.07
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score54 T-scoreStandard Deviation 7.71
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score49.1 T-scoreStandard Deviation 10.6
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score50.4 T-scoreStandard Deviation 10.8
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score

The PROMIS Fatigue Short Form consists of 7 questions evaluating the frequency of fatigue. Each question is answered with a score from 1 (never) to 5 (always). The raw score is the sum of each item and ranges from 7-35. Raw scores are converted to T-scores ranging from 31 to 81.4, with a standard deviation of 10. Higher T-scores indicate higher frequency of fatigue.

Time frame: Baseline (Day 0)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score46.7 T-scoreStandard Deviation 12.5
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Fatigue (Short Form 7b) Daily Score44.5 T-scoreStandard Deviation 9.51
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score

The PROMIS Sleep Disturbance Short Form consists of 6 items assessing sleep disturbance. Each question is answered with a score of 1-5 (varies). The raw score is the sum of each item and ranges from 6-30. The raw score is converted to a T-score ranging from 31.7 to 76.1, with a standard deviation of 10. Higher T-scores indicate greater sleep disturbance.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score51.7 T-scoreStandard Deviation 9.19
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score50.7 T-scoreStandard Deviation 9.2
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score

The PROMIS Sleep Disturbance Short Form consists of 6 items assessing sleep disturbance. Each question is answered with a score of 1-5 (varies). The raw score is the sum of each item and ranges from 6-30. The raw score is converted to a T-score ranging from 31.7 to 76.1, with a standard deviation of 10. Higher T-scores indicate greater sleep disturbance.

Time frame: Baseline (Day 0)

ArmMeasureValue (MEAN)Dispersion
TreatmentPatient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score53.6 T-scoreStandard Deviation 5.39
ControlPatient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (Short Form 6A) Score49.2 T-scoreStandard Deviation 10.1
Secondary

Quality of Recovery (QoR-15) Survey Score

Part A of QoR-15 consists of 10 conditions. Based on how the patient has been feeling in the last 24 hours, they will respond to each condition using an 11-point Likert scale ranging from 0 to 10, where 0 is none of the time \[poor\] and 10 is all of the time \[excellent\]). The total range of score for Part A is 0-100; the higher the score, the better the participant has been feeling. Part B consists of 5 symptoms. The patient will indicate whether they have experienced each symptom over the last 24 hours using an 11-point Likert scale ranging from 10 to 0, where 10 is none of the time \[excellent\] and 0 is all of the time \[poor\]). The total range of score for Part B is 0-50; the higher the score, the better the participant has been feeling. The total score is the sum of of scores from Parts A and B. Total scores range from 0-150; the higher the score, the better the participant has been feeling.

Time frame: Day 2 Post-Op (Day 3)

ArmMeasureValue (MEAN)Dispersion
TreatmentQuality of Recovery (QoR-15) Survey Score75.1 score on a scaleStandard Deviation 12
ControlQuality of Recovery (QoR-15) Survey Score74.6 score on a scaleStandard Deviation 13.2
Secondary

Quality of Recovery (QoR-15) Survey Score

Part A of QoR-15 consists of 10 conditions. Based on how the patient has been feeling in the last 24 hours, they will respond to each condition using an 11-point Likert scale ranging from 0 to 10, where 0 is none of the time \[poor\] and 10 is all of the time \[excellent\]). The total range of score for Part A is 0-100; the higher the score, the better the participant has been feeling. Part B consists of 5 symptoms. The patient will indicate whether they have experienced each symptom over the last 24 hours using an 11-point Likert scale ranging from 10 to 0, where 10 is none of the time \[excellent\] and 0 is all of the time \[poor\]). The total range of score for Part B is 0-50; the higher the score, the better the participant has been feeling. The total score is the sum of of scores from Parts A and B. Scores range from 0-150; the higher the score, the better the participant has been feeling.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentQuality of Recovery (QoR-15) Survey Score81.6 score on a scaleStandard Deviation 18.4
ControlQuality of Recovery (QoR-15) Survey Score80.4 score on a scaleStandard Deviation 11.5
Secondary

Total Dosage of Opioid Use

Use and dosage will be assess through medical records and subject reports.

Time frame: Day 2 Post-Op (Day 3)

ArmMeasureValue (MEAN)Dispersion
TreatmentTotal Dosage of Opioid Use21.2 oral morphine equivalent (mg)Standard Deviation 31.1
ControlTotal Dosage of Opioid Use18.5 oral morphine equivalent (mg)Standard Deviation 21.2
Secondary

Total Dosage of Opioid Use

Use and dosage will be assessed through medical records and subject reports.

Time frame: Day 1 Post-Op (Day 2)

ArmMeasureValue (MEAN)Dispersion
TreatmentTotal Dosage of Opioid Use21.5 oral morphine equivalent (mg)Standard Deviation 17.9
ControlTotal Dosage of Opioid Use37.2 oral morphine equivalent (mg)Standard Deviation 61.4
Secondary

Total Dosage of Opioid Use

Use and dosage will be assessed through medical records and subject reports.

Time frame: Day of Surgery (Day 1)

ArmMeasureValue (MEAN)Dispersion
TreatmentTotal Dosage of Opioid Use6 oral morphine equivalent (mg)Standard Deviation 7.06
ControlTotal Dosage of Opioid Use5 oral morphine equivalent (mg)Standard Deviation 6.61
Secondary

Total Dosage of Opioid Use

Use and dosage will be assess through medical records and subject reports.

Time frame: Day 7 Post-Op (Day 8)

ArmMeasureValue (MEAN)Dispersion
TreatmentTotal Dosage of Opioid Use0.833 oral morphine equivalent (mg)Standard Deviation 2.25
ControlTotal Dosage of Opioid Use7 oral morphine equivalent (mg)Standard Deviation 2.25

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026