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Trial · NCT07603596

Opioid-free Anesthesia and Postoperative Delirium

NCT07603596, Phase 1, Not yet recruiting, Qianfoshan Hospital

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Opioid-free Anesthesia and Postoperative Delirium. Trials, record NCT07603596. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT07603596

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Opioid-free Anesthesia and Postoperative Delirium
NCT number
NCT07603596
Status
Not yet recruiting
Phases
Phase 1
Enrollment
174 participants, estimated
Lead sponsor
Qianfoshan Hospital
Conditions
Postoperative Delirium, Gastrointestinal Tumors
Interventions
OFA group, OBA group
First posted
2026-05-22
Last updated
2026-05-22

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIncidence of postoperative delirium (POD) within 7 days after surgery or at discharge7 days after surgery or at discharge
SecondaryAll-cause mortality within 30 days after surgery30 days after surgery
SecondarySerum tumour necrosis factor-α (TNF-α, pg/mL) concentration10 minutes after anaesthesia induction; 10 minutes and 1 hour after pneumoperitoneum; and 24 hours and 48 hours after surgery
Blood samples are collected at 5 predefined perioperative time points: 10 minutes after anaesthesia induction (baseline), 10 minutes after pneumoperitoneum, 1 hour after pneumoperitoneum, 24 hours post-surgery, and 48 hours post-surgery. Serum TNF-α concentration is measured in duplicate by enzyme-linked immunosorbent assay (ELISA). Each time point yields a separate value; these values are not aggregated into a single composite measure. All five time-specific values will be analysed separately using repeated measures models to compare changes over time between the two treatment groups.
SecondarySerum cortisol concentration (nmol/L)10 minutes after anaesthesia induction; 10 minutes and 1 hour after pneumoperitoneum; and 24 hours and 48 hours after surgery
SecondaryQuality of Recovery-15 (QoR-15) score24 hours, 48 hours, and 72 hours after surgery
The QoR-15 is a 15-item patient-reported questionnaire that measures quality of recovery after surgery and anesthesia. Each item is scored from 0 (none of the time) to 10 (all of the time). Total scores range from 0 (worst possible recovery) to 150 (best possible recovery). Higher scores indicate a better outcome.
SecondaryPostoperative complications during hospitalization
During the index hospitalization, from the end of surgery until hospital discharge (assessed daily; reported for the entire hospitalization period) Alternative specific phrasing: "Up to 30 days" if discharge may occur earlier.
Postoperative complications are defined according to \[specify criteria, e.g., Clavien-Dindo classification, or list specific complications such as surgical site infection, pneumonia, deep vein thrombosis, etc.\]. The number of participants experiencing one or more complications during the specified time frame will be reported. No scale is used; this is a binary (yes/no) outcome per participant.
SecondaryNumeric Rating Scale (NRS) Pain Score
Day 1 (day of surgery, assessed within 6 hours after arrival to the post-anaesthesia care unit) Day 2 (postoperative day 2, assessed at 48 ± 6 hours after surgery) Day 3 (postoperative day 3, assessed at 72 ± 6 hours after surgery)
Pain intensity is assessed using the 11-point Numeric Rating Scale (NRS), where 0 = no pain and 10 = worst imaginable pain. The assessment is performed at rest and on movement (e.g., coughing or deep breathing) by a trained research assistant blinded to group allocation. The score at 72 hours post-surgery (with an allowable window of 72 ± 6 hours) is recorded as the primary pain outcome. If the 72-hour assessment coincides with hospital discharge before that time point, the assessment is performed at discharge (up to 72 hours). The single score at this specified time point is reported; no aggregation across multiple time points is performed.
SecondaryIncidence and Severity of Postoperative Nausea and Vomiting (PONV) as Assessed by a 4-Point Categorical ScaleFrom the end of surgery up to 72 hours postoperatively
PONV is measured using a 4-point categorical scale: 0 = no nausea or vomiting 1. = mild nausea without vomiting 2. = moderate nausea with retching or one episode of vomiting 3. = severe nausea with multiple episodes of vomiting Minimum value = 0, maximum value = 3. Higher scores indicate a worse outcome (more severe PONV). The primary metrics reported will be: Incidence = proportion of participants with any PONV (score ≥1) during the time frame Severity = mean (or median) score at each time point, plus the proportion with a score of 3
SecondaryTotal Postoperative Opioid Consumption in Morphine Milligram Equivalents (MME)From the end of surgery up to 72 hours postoperatively
All opioid analgesics administered intravenously, orally, or via patient-controlled analgesia (PCA) during the specified time frame are converted to MME using standard conversion factors (e.g., CDC or equianalgesic reference). Minimum value = 0 MME (no opioid use) Maximum value = no theoretical upper limit (reported as range observed) Higher MME indicates greater opioid consumption, which is generally considered a worse outcome (e.g., more pain or greater analgesic requirement) The primary metric reported will be mean (or median) total MME per participant during the time frame, along with standard deviation or interquartile range.
SecondaryDuration of anaesthesia (in minutes)during anaesthesia
Duration of anaesthesia is defined as the time from the start of anaesthesia induction (first administration of induction agent) to the withdrawal of all anaesthetic maintenance medications at the end of surgery. The duration is recorded in minutes and calculated from intraoperative anaesthesia records. A single value is reported per participant.

Outcomes0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

None in this release.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow0

How many started, completed or left each group, period by period.

None in this release.

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26676760BACKGROUNDPubMed
31609228BACKGROUNDPubMed
35973340BACKGROUNDPubMed
37599617BACKGROUNDPubMed
37944401BACKGROUNDPubMed
38302882BACKGROUNDPubMed
39470760BACKGROUNDPubMed
40562634BACKGROUNDPubMed
40653956BACKGROUNDPubMed
41354156BACKGROUNDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT07603596

GET https://conductscience.org/api/trials/v1/NCT07603596/registered