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NCT04491617 · ClinicalTrials.gov registry record · NA

STandard Versus No Opioid Prescription After Prolapse and Anti-INcontinence Surgery Trial

A NA study, sponsored by The Cleveland Clinic.

Completed
Registry status
NA
Development phase
129
Enrollment target

NCT04491617: Completed NA study, sponsored by The Cleveland Clinic.

NCT04491617 is a NA study that has completed, run by The Cleveland Clinic. The registered enrollment target is 129 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (91% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT04491617, a NA study, has completed, sponsored by The Cleveland Clinic.

COMPLETED
Registry status
NA
Development phase
129 participants
Enrollment target

Study Summary

Overprescribing opioids is considered a major contributor to the opioid crisis. Hill et al. demonstrated that within a general surgery practice, over 70% of the prescribed opioid pills were never taken. Disturbingly, 45% of patients who did not take opioids at all on their day of discharge were discharged with an opioid prescription (Chen et al). Recent initiatives have attempted to utilize restrictive opioid prescribing protocols for postoperative pain management in which patients were prescribed a limited number of opioid tablets (Hallway et al) or prescribed opioids only if they were used as an inpatient (Mark et al). These well-conducted studies show that restrictive opioid prescribing policies achieve the goal of reducing excess opioid exposure without causing undue harm, inconvenience or dissatisfaction among patients. The objective of this study is to determine if a restrictive opioid prescription protocol (in which patients are not prescribed postoperative opioids unless they request them) is acceptable to patients after ambulatory and major urogynecologic surgery, compared to standard opioid prescribing practices. The study investigators believe that physicians can capitalize on the new ability to electronically prescribe opioids for patients who require them, to prevent over-prescribing without impacting patient care. The study also intends to describe postoperative opioid use patterns in the urogynecologic population, including factors predictive of opioid use and non-use. The results of this research will have a significant and timely impact by helping to reduce opioid overprescribing and informing future prescribing guidelines in the field of urogynecology.

Primary Outcome

The proportion of patients satisfied with postoperative pain control will be reported. Patient satisfaction with pain control was assessed with a 5-point Likert scale at the postoperative visit ("Overall, how satisfied were you with your postoperative pain medication?" \[ranked 1- Very Dissatisfied to 5- Very Satisfied\] and those who ranked their satisfaction level as a 4 or 5 were considered satisfied.

Interventions

  • OTHER Standard opioid prescribing
  • OTHER Restrictive opioid prescribing

Trial Details

FieldValue
Enrollment Target 129 participants
Start Date 2020-08-27
Est. Completion 2022-08-31
Phase NA
The Cleveland Clinic

688 total trials

What the finished NCT04491617 record still lists

NCT04491617 is an interventional study that assigns participants to a tested intervention. The registered 129 participants enrollment target is mid-sized for trials with a published cap, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (91% lower).

The record links to 0 conditions, and to 2 interventions - of which Standard opioid prescribing is the first listed.

NCT04491617 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT04491617 about?

NCT04491617 is a clinical study titled "STandard Versus No Opioid Prescription After Prolapse and Anti-INcontinence Surgery Trial". Overprescribing opioids is considered a major contributor to the opioid crisis. Hill et al. demonstrated that within a general surgery practice, over 70% of the prescribed opioid pills were never taken. Disturbingly, 45% of patients who did not take opioids at all on their day of discharge were disc...

What is the current status of trial NCT04491617?

This trial is currently completed. It is a NA study. The enrollment target is 129 participants. The study started on 2020-08-27. Estimated completion is 2022-08-31.

What interventions are being tested in trial NCT04491617?

The interventions under investigation include: Standard opioid prescribing (OTHER), Restrictive opioid prescribing (OTHER).

Who is sponsoring clinical trial NCT04491617?

This trial is sponsored by The Cleveland Clinic, which has 688 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT04491617's enrollment target sits among peer trials

129 744th of 2000 higher than 1,257 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT04491617, the US trial registry maintained by the National Library of Medicine. NCT04491617 (mid enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.