Title

Gabapentin for Perioperative Pain Relief in Surgical Abortion
Gabapentin for Perioperative Pain Relief in Surgical Abortion: a Double-blind Randomized Controlled Trial
  • Phase

    Early Phase 1
  • Study Type

    Interventional
  • Study Participants

    219
Gabapentin preoperative use for evaluation of benefit to reduce pain during and after surgical office-based abortion.
A double-blind placebo controlled trial of gabapentin in the setting of an ambulatory surgical abortion center where patients receive either the routine intravenous sedation, local cervical anesthesia plus 600mg of gabapentin one hour prior to surgery vs. the same regimen plus placebo one hour prior to surgery. Our primary outcome measure will be post-operative validated pain scores using a 11-point visual analog scale (VAS). Secondary measures will include nausea and vomiting during, after and 24 hours after the procedure. A second and third pain assessment using VAS will be made at 30 minutes and at 24 hours postoperatively.
Study Started
May 01
2017
Primary Completion
Mar 30
2018
Study Completion
Mar 30
2018
Results Posted
Dec 02
2020
Last Update
Dec 02
2020

Drug Gabapentin

Preoperative treatment with Gabapentin

Drug Placebos

Preoperative treatment with Placebo

Gabapentin Arm Active Comparator

Gabapentin 600 mg given 1-2 hours prior to surgical abortion

Placebo Arm Placebo Comparator

Placebo (vit C) given 1-2 hours prior to surgical abortion

Criteria

Inclusion Criteria:

Women seeking surgical abortion between 5 and 23 6/7 weeks of ultrasound age.
English or Spanish speaking
eligible for office-based surgical pregnancy termination

Exclusion Criteria:

present use of gabapentin or pregabalin,
renal disease
sensitivity or allergy to gabapentin
Missed abortion

Summary

Gabapentin Arm

Placebo Arm

All Events

Event Type Organ System Event Term

Pain Score

100mm Visual analog scale (VAS) for level of pain, 1-100, 1=no pain, 100= extreme pain

Gabapentin Arm

17.0
score on a scale (Median)
Inter-Quartile Range: 0.0 to 60.0

Placebo Arm

17.0
score on a scale (Median)
Inter-Quartile Range: 2.0 to 53.0

Pain Score 24

Pain at 24 hours postoperative on 100mm VAS, 1=no pain, 100=extreme pain

Gabapentin Arm

Placebo Arm

1.0
score on a scale (Median)
Inter-Quartile Range: 0.0 to 12.5

Nausea

Nausea at 24 hours using 100mm VAS, 1=none, 100=extreme

Gabapentin Arm

1.74
VAS 100mm (Mean)
Standard Deviation: 10.923

Placebo Arm

1.74
VAS 100mm (Mean)
Standard Deviation: 8.140

Vomiting

Vomiting at 24 hrs, 100mm VAS, 1=none, 100=extreme

Gabapentin Arm

0.85
VAS 100mm (Mean)
Standard Deviation: 6.063

Placebo Arm

0.74
VAS 100mm (Mean)
Standard Deviation: 5.125

Pain Score at 30 Minutes Postoperative

100mm Visual analog scale for level of pain, 1-100, 1=no pain, 100= extreme pain

Gabapentin Arm

20.0
score on a scale (Median)
Inter-Quartile Range: 3.0 to 55.0

Placebo Arm

23.0
score on a scale (Median)
Inter-Quartile Range: 3.0 to 57.0

Total

216
Participants

Age, Continuous

27.4
years (Mean)
Standard Deviation: 6.13

Living Arrangements

Pregnancy History

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

Gabapentin Arm

Placebo Arm

Drop/Withdrawal Reasons

Gabapentin Arm

Placebo Arm