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NCT05452694

OpalGenix- Personalized Postoperative Pain Management Following Lumbar Spinal Fusion and Decompression Surgery in Adults

Recruiting now Last updated 1 May 2025
What this trial tests

trial in Lumbar Spine Stenosis in 235 participants. Currently enrolling.

Timeline
1 November 2022
Primary endpoint
18 July 2025
1 July 2027

Quick facts

Lead sponsorOpalGenix, Inc
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment235
Start date1 November 2022
Primary completion18 July 2025
Estimated completion1 July 2027
Sites3 locations across United States

Conditions studied

Sponsor

OpalGenix, Inc — full company profile →

Who can join

Adults 18 to 99, any sex, with Lumbar Spine Stenosis or Lumbar Spine Degeneration. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The proposed research is an important extension of an ongoing perioperative personalized analgesia and intravenous opioid pharmacogenetic research. This research focuses on two of the most commonly used oral opioid analgesics, oxycodone, and methadone, in adults following lumbar spinal fusion and decompression surgery. Genetic signature and combinatorial pharmacogenetic approaches perform better than single-gene associations. This innovative translational research will for the first time evaluate simultaneously the effects of multiple genes and interactions on oxycodone and methadone's pharmacokinetics and optimal clinical dosing and on its safety and efficacy in the highly vulnerable pediatric population. This research's multigenetic signature findings can be easily extrapolated to adults undergoing surgery or using oxycodone and/or methadone for chronic and cancer pain and in identifying opioid abusers at risk of severe respiratory depression and death. When methadone is given in addition to oxycodone for inpatient pectus excavatum repair and idiopathic scoliosis spinal fusions according to new departmental protocols, methadone pharmacokinetics and pharmacodynamics will also be evaluated.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. The Role of Pharmacogenetic Biomarkers in Pain.
    Martin da Silva I, Plaza-Díaz A, Ruiz-Ramos J, Juanes-Borrego A, et al · · 2025 · cited 1× · PMID 40868188 · DOI 10.3390/biomedicines13081935

Verify or expand the search:

Other recruiting trials for Lumbar Spine Stenosis

Currently open trials in the same condition.

Other OpalGenix, Inc trials

Trials by the same sponsor.

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Data sources for this page

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