Prospective pharmacogenetic cohort study of CYP2D6 metabolizer phenotype, analgesic failure, and adverse effects in postoperative patients receiving tramadol by elastomeric infusion pump
NCT ID NCT07810816
First seen Sep 09, 2026 · Last updated Sep 09, 2026
Summary
This prospective pharmacogenetic cohort will enroll postoperative patients receiving a standardized tramadol-containing elastomeric analgesia pump. CYP2D6 genotype will be measured but will not determine treatment during the 72-hour study window. Participants with non-normal metabolizer phenotypes will be compared with normal metabolizers for analgesic treatment failure and adverse effects. Pain, rescue medication, pump discontinuation, sedation, respiratory status, nausea/vomiting, and other adverse events will be assessed at prespecified times.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults undergoing elective surgery who receive a standardized tramadol-containing elastomeric analgesia pump and consent to CYP2D6 genotyping.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Elective surgery followed by the institution's standardized tramadol-containing elastomeric analgesia pump. * Ability to report pain on a 0-to-10 numeric rating scale. * Provision of a blood or buccal sample for CYP2D6 genotyping before or immediately after surgery. * Written informed consent for genetic testing, storage of genotype data, and clinical follow-up. Exclusion Criteria: * Known tramadol allergy or contraindication. * Chronic opioid therapy, opioid use disorder, or opioid tolerance requiring an individualized regimen. * Severe renal or hepatic dysfunction outside the standardized pump eligibility criteria. * Concomitant medication or condition that requires deviation from the standard pump before the first outcome assessment. * Pregnancy or breastfeeding. * Inability to provide reliable pain scores or complete 72-hour monitoring.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
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A doctor treating you
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Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Clinica Bioforma
RECRUITINGMedellín, Antioquia, Colombia
Contact Email: •••••@•••••
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