Status:

COMPLETED

Opioid Prescription After Cesarean Trial

Lead Sponsor:

The George Washington University Biostatistics Center

Collaborating Sponsors:

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Conditions:

Pregnancy Related

Opioid Use

Eligibility:

FEMALE

Phase:

PHASE3

Brief Summary

Non-inferiority randomized trial of 5,500 women with a cesarean delivery randomized prior to discharge to either an individualized opioid prescription protocol (IOPP) that includes shared decision mak...

Detailed Description

This was a non-inferiority multi-center unblinded randomized trial of 5,500 women undergoing a cesarean delivery who were randomized before discharge to either an individualized opioid prescription pr...

Eligibility Criteria

Inclusion

  • Post cesarean delivery (combined vaginal/cesarean deliveries are not eligible)
  • Singleton, twin or triplet gestation

Exclusion

  • An opioid prescription filled during the current pregnancy
  • Known history of opioid use disorder, by medical record review
  • Contraindication to opioids (oxycodone)
  • Contraindications to both acetaminophen and ibuprofen
  • Significant surgical procedures (e.g., hysterectomy) prior to randomization as pain trajectory will be completely different
  • Fetal or neonatal death prior to randomization
  • Inability to randomize within 1 day before planned discharge from the hospital
  • Inability to participate in shared decision making as assessed by research staff
  • Language barrier (non-English or Spanish speaking)
  • Participation in this trial in a previous pregnancy
  • Participation in another intervention study that influences the primary outcome in this trial

Key Trial Info

Start Date :

September 21 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 8 2022

Estimated Enrollment :

5521 Patients enrolled

Trial Details

Trial ID

NCT04296396

Start Date

September 21 2020

End Date

July 8 2022

Last Update

October 3 2023

Active Locations (12)

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Page 1 of 3 (12 locations)

1

University of Alabama - Birmingham

Birmingham, Alabama, United States, 35233

2

Northwestern University

Chicago, Illinois, United States, 60611

3

Columbia University

New York, New York, United States, 10032

4

University of North Carolina-Chapel Hill

Chapel Hill, North Carolina, United States, 17599