Could a simple shot replace spinal morphine for C-Section pain?
NCT ID NCT07777029
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests whether a subcutaneous (under-the-skin) injection of methadone can provide pain relief after a cesarean section that is just as good as the standard spinal morphine. The study will enroll 128 women having planned C-sections and measure their quality of recovery over the first 24 hours, along with pain levels, opioid use, and side effects. If methadone works as well, it could offer a simpler and potentially safer option for post-surgical pain management.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Subcutaneous methadone
- What this could lead to
- If effective, this could offer a simpler, safer alternative to spinal morphine for managing pain after cesarean delivery, potentially improving recovery and reducing side effects.
- What could go wrong
- This is a non-inferiority trial, so it may only show methadone is no worse, not better. It's also a single study with 128 participants, and results may not apply to all settings or populations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 128 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 45 years
- Sex
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Female participants only
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women aged 18-45 years * Singleton pregnancy at term (≥37 weeks of gestation) * Scheduled for elective cesarean delivery * Planned neuraxial spinal anesthesia * Ability to understand and complete the QoR-10 questionnaire * Provision of written informed consent Exclusion Criteria: * Emergency cesarean delivery * Contraindication to neuraxial anesthesia * Known hypersensitivity or allergy to methadone or morphine * Chronic opioid use or opioid dependence
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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 official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Simple steroid shot before C-Section could cut Post-Op pain and opioid use
- C-Section recovery gets a High-Tech boost: music, breathing, and VR put to the test
- Reiki after C-Section: could touch therapy boost breastfeeding and ease pain?
- C-Section pain study: which morphine works best?
- Sleep hormone melatonin tested as painkiller for C-Section moms