Comparing Analgesic Regimen Effectiveness and Safety for Surgery (CARES) Trial
NCT05722002 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 900
Last updated 2026-04-17
Summary
This trial is being completed to compare two commonly used options to treat pain after surgery. Participants that undergo gallbladder removal, hernia repair, and breast lump removal will be eligible to enroll. Eligible participants will be randomized to 1 of 2 groups of medications (Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) plus acetaminophen or low dose opioids plus acetaminophen).
It is anticipated that the NSAID group will have superior clinical outcomes and fewer side effects when compared to the opioid group.
Conditions
- Surgery
- Pain, Postoperative
Interventions
- DRUG
-
NSAID
Once randomized to this group the surgical team will elect for 1 of the following treatment options to be given: * Ibuprofen 600 milligram (mg) by mouth every six hours as needed for pain (10 doses) * Celecoxib 400 mg by mouth once then 200 mg every twelve hours as needed for pain (10 doses) * Naproxen 500 mg by mouth once then 250 mg by mouth every eight hours as needed for pain (10 doses)
- DRUG
-
Opioid
Once randomized to this group the surgical team will elect for 1 of the following treatment options to be given: * Oxycodone 5 mg by mouth every four to six hours as needed for pain, 10 doses * Morphine 7.5 mg by mouth every four to six hours as needed for pain, 10 doses * Hydromorphone 2 mg by mouth every four to six hours as needed for pain, 10 doses
- DRUG
-
Acetaminophen 1000 mg by mouth every 6 hours around the clock for the first three days after surgery then as needed thereafter (20 doses).
Sponsors & Collaborators
-
Patient-Centered Outcomes Research Institute
collaborator OTHER - lead OTHER
Principal Investigators
-
Mark Bicket, MD, PhD · University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-06
- Primary Completion
- 2026-12-31
- Completion
- 2027-07-31
- FDA Drug
- Yes
Countries
- United States
- Canada
Study Locations
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