Can common painkillers replace opioids after surgery?
NCT ID NCT05722002
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This study compares two common ways to manage pain after surgery: NSAIDs (like ibuprofen) plus acetaminophen, or low-dose opioids (like oxycodone) plus acetaminophen. About 900 adults having gallbladder removal, hernia repair, or breast lump removal will be randomly assigned to one of the two groups. The goal is to see which approach provides better pain control with fewer side effects over the first week after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NSAIDs (ibuprofen, celecoxib, or naproxen) plus acetaminophen, or low-dose opioids (oxycodone) plus acetaminophen
- What this could lead to
- If it works, this could show that NSAIDs are a better first choice than opioids for managing pain after common surgeries, reducing side effects and opioid use.
- What could go wrong
- This is a Phase 4 trial, so the drugs are already approved, but results may not apply to all surgeries or patients. Some people may still need opioids for adequate pain relief.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 900 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2023
- Expected to finish
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Aug 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 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.
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: * No significant analgesic medication use before surgery: For this study, significant analgesic medication use before surgery as use of prescriptions for opioid or NSAID medications in the past 30 days, or over-the-counter NSAID use on greater than 7 of 30 past days, as reported by the patient. * One of three common low-risk surgical procedures: For this study, the three-common low-risk surgical procedures will include laparoscopic gallbladder removal, inguinal hernia repair, and breast lumpectomy. Exclusion Criteria: * Anticipated other surgery within 6 months or anticipated life expectancy of less than 6 months * Patients with contraindications to NSAID drugs in the NSAID arm, opioid drugs in the OPIOID arm, or acetaminophen will be excluded. There are specific contraindications that will be reviewed per protocol.
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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 places running it
8 sites in 2 countries. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Cooper University Health Care
RECRUITINGCamden, New Jersey, 08103, United States
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Henry Ford Health System
RECRUITINGDetroit, Michigan, 48202, United States
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Temple University - Temple Health
RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
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Unity Health Toronto
RECRUITINGToronto, Ontario, Canada
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of North Carolina Hospitals
RECRUITINGChapel Hill, North Carolina, 27599, United States
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Washington University in Saint Louis
RECRUITINGSt Louis, Missouri, 63130, United States
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Women's College Hospital
RECRUITINGToronto, Ontario, M5S 1B2, Canada
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