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OncoMatch/Clinical Trials/NCT06935708

Intrathecal Morphine Versus Epidural Analgesia for Open Colon Surgery

Is NCT06935708 recruiting? Yes, currently enrolling (May 2026). This Phase 4 trial studies Intrathecal Morphine for colorectal carcinoma.

Phase 4RecruitingMeri MircetaNCT06935708Data as of May 2026

Treatment: Intrathecal MorphineEffective pain management after abdominal surgery is essential for recovery. This study compares two pain relief methods-intrathecal morphine (a single spinal injection) and continuous epidural analgesia-for patients undergoing open colorectal cancer surgery. The investigators expect intrathecal morphine to provide equal pain relief at rest 24 hours after surgery, while epidural analgesia may be more effective during movement. By 48 to 72 hours, both methods should offer similar pain control. The epidural group may require fewer additional pain medications but could experience more side effects, including a higher risk of low blood pressure and technical difficulties. Additionally, these patients may have a slightly longer hospital stay. In contrast, the intrathecal morphine group may have fewer overall side effects. Despite these differences, patient satisfaction, sleep quality, and recovery are expected to be similar in both groups. By evaluating these methods, this study aims to determine the most effective and safe approach to post-surgical pain management, improving comfort and recovery outcomes for patients.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Performance status

ASA 1–3

Lab requirements

Blood counts

abnormal coagulation function (prothrombin time or activated partial prothrombin time above standard laboratory values or INR ≥1.4); thrombocytopenia (platelet count <80×10^9/L)

Cardiac function

bradycardia (pulse <50/min) or conduction block (2nd or 3rd degree) excluded

abnormal coagulation function, defined as prothrombin time or activated partial prothrombin time above standard laboratory values or an international normalised ratio (INR) ≥1.4; or receiving ongoing therapeutic anticoagulation, thrombocytopenia, defined as a platelet count <80×10 9 L-1, bradycardia (pulse <50/min) or with conduction block (2nd or 3rd degree)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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