Evaluation of Analgesia for Cardiac Elective Surgery in Children

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age3-18
SponsorSenthil Sadhasivam

About this trial

The purpose of this study is to look at a standardized methadone-based enhanced recovery after surgery protocol following pediatric cardiac surgery. This study will consist of randomly assigning children to receive the methadone-based recovery procedures or to receive current standard of care recovery procedures. Randomly assigning means that there is a 50/50 chance, like a coin flip, of being assigned to either research group.

Eligibility criteria

Qualifiers

Children aged 3-years - <18 years

ASA physical status 1, 2, or 3

Participant or legal guardian can speak and read English or Spanish

Undergoing the following cardiac surgeries (Categories 1 & 2) that are associated with significant acute surgical pain

Disqualifiers

Pregnant patients

Methadone allergy

Preoperative prolonged QTc more than 460 msec (-30 days to 0 day)

Subjects undergoing concomitant treatment with known cytochrome P450 inhibitors included in methadone labeling (i.e. macrolides (e.g. erythromycin), azole-antifungal agents (e.g. ketoconazole, voriconazole), protease inhibitors (e.g. ritonavir), fluconazole, SSRIs (e.g. sertraline, fluvoxamine)

Trial design

Treatments tested in this trial

  • Methadone based ERAS
  • Non-methadone based group

Treatment groups

500 Participants
are divided into 2 treatment groups

Locations

1
UPMC Children's Hospital15213, PittsburghPennsylvania, United States

Sponsors and collaborators

Senthil Sadhasivam

Lead sponsor

University of Pittsburgh

Sponsor institution

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

Collaborator