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Perioperative Use of a Selective COX2 Inhibitor in Patients Undergoing Elective Colorectal Surgery: the Effect on Post-operative Bowel Motility and Post-operative Pain

S

Sheba Medical Center

Status

Unknown

Conditions

Prevention of Post Operative Ileus

Treatments

Drug: Celecoxib
Drug: Placebo

Study type

Interventional

Funder types

Other

Identifiers

NCT02790203
2913-16-SMC

Details and patient eligibility

About

Perioperative Celecoxib to promote bowel movement and to reduce post-operative pain after elective colonic resection.

Full description

Post-operative ileus is a common surgical complication occurring in with up to 20% of patients, with a significant clinical and economical effect.

Many preventative measures have been tested to promote gastrointestinal motility following intestinal surgery have been suggested.

The medical intervention in the proposed study includes administration of a selective COX-2 inhibitor, specifically Celecoxib, in the peri-operative period following an elective colon resection. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic, and antipyretic therapeutic effects.

The drug is approved for use in by the ministry of health in Israel and in the United states. The study aims to assess the use of this widely used medication for evaluation of the clinical effect on post-operative bowel transit, as well as the drugs' effect on post-operative pain.

Enrollment

100 estimated patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients between the age of 18 and 80
  • Patients planned for elective colorectal surgery with primary anastomosis
  • ASA score of 1-3
  • Patients that are able to sign an informed consent and comply with the protocol

Exclusion criteria

  • Patients with inflammatory bowel disease
  • Patients that require emergency surgery
  • Patients with renal failure, measured by Creatinine level > 1.5 mg/dL (>106.1 micro mol/l)
  • Patients with significant liver failure (known cirrhosis, Bilirubin level>2 mg/dL or 34.2 µmol/L)
  • Patients with known allergy to any medication from the non-steroidal anti-inflammatory drug group.
  • Patients treated chronically with any type of COX inhibitor.
  • Patients treated with NSAIDS including Aspirin 7 days prior to the date of surgery.
  • Patients with active peptic disease
  • Patient expected to take muscle relaxants, tricyclic antidepressants, tranquilizers, sedatives, hypnotics or neuroleptics in the postoperative period
  • Patient with dysphagia or that have a difficulty swallowing capsules or tablets, or is unable to tolerate oral medication
  • Pregnant / lactating women.
  • Patients participating in any other interventional clinical trial

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

100 participants in 2 patient groups, including a placebo group

Celecoxib
Experimental group
Description:
Celecoxib will be given orally to patients participating in the study and allocated to the treatment group, for an intervention period of 6 days, starting from the day of surgery. Celecoxib will be given throughout the intervention period of the study orally at a dose of 400 mg per day divided into two doses, a dose which is within the recommended and a widely used dosage and is expected to induce a significant inhibition of prostaglandin synthesis by the COX2 pathway. Celecoxib will be given throughout the intervention period of the study orally at a dose of 400 mg per day divided into two doses.
Treatment:
Drug: Celecoxib
Placebo
Placebo Comparator group
Description:
Placebo will be given orally to patients participating in the study and allocated to the control group that will receive placebo, for an intervention period of 6 days, starting from the day of surgery. Placebo will be given throughout the intervention period of the study orally in capsules that resemble the drug, twice a day.
Treatment:
Drug: Placebo

Trial contacts and locations

0

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Central trial contact

Nir Horesh, Dr.

Data sourced from clinicaltrials.gov

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