Risk-benefit analysis of intrathecal morphine administration to patients undergoing surgical treatment of proximal femoral fracture (monocentric, single-blinded, randomized clinical study compared to standard treatment)

2024-513996-42-00 Therapeutic confirmatory (Phase III) Ended

End 30 Sep 2025 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 100
Countries 1
Sites 1

proximal femur fracture

To verify that intrathecal administration of morphine results in better patient analgesia than administration of opioids by other routes.

Key facts

Sponsor
Fakultni Nemocnice Ostrava
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Trial duration
completed 30 Sep 2025
Decision date (initial)
2024-10-31
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
University Hospital Ostrava

External identifiers

EU CT number
2024-513996-42-00
EudraCT number
2021-002765-17
ClinicalTrials.gov
NCT05920642

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To verify that intrathecal administration of morphine results in better patient analgesia than administration of opioids by other routes.

Secondary objectives 1

  1. To determine whether intrathecal administration of morphine is comparably safe to opioids submitted by another route.

Conditions and MedDRA coding

proximal femur fracture

VersionLevelCodeTermSystem organ class
20.0 PT 10016450 Femoral neck fracture 100000004863

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. ASA classification I - III
  2. patient indicated for procedure in subarachnoid block
  3. signed informed consent form

Exclusion criteria 3

  1. patient allergic to opioid analgesics
  2. the assumption of a high risk of postoperative respiratory depression
  3. procedure under general anaesthesia

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 5

  1. pain assessment using VAS10 at rest (value 0-10 according to pain intensity, measured every 2 h for 24 h)
  2. pain assessment using VAS10 while positioning the patient
  3. time until the first administration of rescue medication – analgesics
  4. total consumption of opioids in the ICU per 24 h
  5. the dose of administered non-opioid analgesics

Secondary endpoints 7

  1. monitoring of hypoventilation
  2. monitoring of hypotension
  3. monitoring of bradycardia
  4. postoperative nausea and vomiting
  5. effect of antiemetic mediation
  6. monitoring of pruritus
  7. the effectiveness of the treatment of pruritus

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

SCP1000773 · ATC

Route of administration
INTRATHECAL USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N02AA01 — MORPHINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fakultni Nemocnice Ostrava

Sponsor organisation
Fakultni Nemocnice Ostrava
Address
17. Listopadu 1790/5, Poruba Poruba
City
Ostrava
Postcode
708 00
Country
Czechia

Scientific contact point

Organisation
Fakultni Nemocnice Ostrava
Contact name
Denis Buršík

Public contact point

Organisation
Fakultni Nemocnice Ostrava
Contact name
Denis Buršík

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 100 1
Rest of world 0

Investigational sites

Czechia

1 site · Ended
Fakultni Nemocnice Ostrava
Anaesthesiology, Resuscitation and Intensive Medicine, 17. Listopadu 1790/5, Poruba, Ostrava

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) FNO-KARIM2021_TT_Case report form - verze 5 5
Protocol (for publication) FNO-KARIM2021_TT_Protokol-verze_8 8
Recruitment arrangements (for publication) FNO-KARIM2021_TT_Popis zpusobu naboru subjektu hodnoceni_v2 2
Subject information and informed consent form (for publication) FNO-KARIM2021_TT_ICF_Main_morfin_v6 6
Synopsis of the protocol (for publication) FNO-KARIM2021_TT_Souhrn_protokolu_verze 2 2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-05 Czechia Acceptable with conditions
2024-09-16
2024-10-31