Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
NCT07213375

High Dose Dexamethasone to Reduce Postoperative Pain After Video-Assisted Thoracoscopic Surgery Lobectomy /Segmentectomy

Led by Rigshospitalet, Denmark · Updated on 2026-01-07

80

Participants Needed

1

Research Sites

60 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The aim is to conduct a randomized controlled trial (RCT) with a high dose arm (1mg/kg) vs a low dose (8mg in total) of steroid (Dexamethasone) given intravenous (IV) after the induction of anesthesia to "High-pain-responders" in patients undergoing VATS lobectomy/segmentectomy. The hypothesis is that a high dose of Dexamethasone can lower pain when coughing in the morning after VATS lobectomy/segmentectomy, in patients scoring as "High-pain-responders" on the Pain-Catastrophizing-Scale

CONDITIONS

Official Title

High Dose Dexamethasone to Reduce Postoperative Pain After Video-Assisted Thoracoscopic Surgery Lobectomy /Segmentectomy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 218 years or older
  • Able to understand written and spoken Danish
  • Pain Catastrophizing Scale (PCS) score of 20 or higher
  • Signed written informed consent form
  • Planned for elective video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy
Not Eligible

You will not qualify if you...

  • Current systemic glucocorticoid or other immunosuppressive therapy (excluding inhaled steroids)
  • Diabetes requiring insulin treatment
  • Pregnant or breastfeeding
  • Known allergies to Dexamethasone
  • Mental disabilities affecting consent or data validity
  • Diagnosed schizophrenia, active psychosis, bipolar disorder, or ongoing treatment with antipsychotic or antidepressant medications
  • Altered pain perception due to spinal cord or brain injuries, severe polyneuropathies, or neurological disorders
  • Regular opioid medication use
  • Reoperation needed within first two postoperative days
  • Conversion to non-VATS lobectomy/segmentectomy surgery during procedure

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Department for Cardiothoracic Surgery, Rigshospitalet

Copenhagen, Copenhagen, Denmark, 2100

Actively Recruiting

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Research Team

L

Lasse Visby, Medical Doctor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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High Dose Dexamethasone to Reduce Postoperative Pain After Video-Assisted Thoracoscopic Surgery Lobectomy /Segmentectomy | DecenTrialz