Safety and Analgesic Efficacy of the Biased μ-Opioid Receptor Agonist Tegileridine for Post-Operative Analgesia in Patients Undergoing Bariatric Surgery

NCT07844512 — Phase 3, Not yet recruiting, 148 participants, The First Hospital of Jilin University

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Safety and Analgesic Efficacy of the Biased μ-Opioid Receptor Agonist Tapentadol in Patients Undergoing Bariatric Surgery

RegistryNCT07844512
StatusNot yet recruiting
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment148 (Estimated)
SponsorThe First Hospital of Jilin University (Other)
ConditionsPain Management, Overweight , Obesity, Respiration; Sleep Disorder
InterventionsTegileridine (tegileridine fumarate injection, IV), Sufentanil (Drug)
Datesstart 2026-10-01 (estimated), primary completion 2027-10-01 (estimated), completion 2027-10-01 (estimated), first posted 2026-09-28, last updated 2026-10-16

Related Papers Related Patents Related Grants Related Experts
All trials for Pain Management All trials for Overweight , Obesity All trials of Tegileridine (tegileridine fumarate injection, IV) All trials of Sufentanil

-Summary

This single-center, stratified randomized double-blind trial tests tegileridine, a new pain drug, for pain relief after weight-loss surgery. Researchers will compare tegileridine with standard opioid pain medicine.

Eligible patients having bariatric surgery will be randomly assigned to one of the two treatment groups. Patients and study teams will not know which treatment each participant receives. Participants will be grouped based on whether they have obstructive sleep apnea (OSA).

The primary measurement is postoperative recovery quality in the first 24 hours after surgery using the QoR-15 survey. The study will also track pain scores, rescue pain medication use, and drug side effects for 7 days after surgery.

There is no guaranteed benefit for participants. Study pain medicines may cause side effects. Doctors will provide rescue treatment for uncontrolled pain.

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+Arms and interventions

ArmTypeInterventionsDescription
Tegileridine GroupExperimentalDrug: Tegileridine (tegileridine fumarate injection, IV)
Standard Opioid GroupActive comparatorDrug: Sufentanil
  • Tegileridine (tegileridine fumarate injection, IV) (Drug): Tegileridine will be given to participants for postoperative pain relief after bariatric surgery.
  • Sufentanil (Drug): Sufentanil, a standard opioid analgesic, will be given to participants to manage postoperative pain following bariatric surgery.

+Outcome measures

Primary outcomes

  • Quality of Recovery-15 (QoR-15) Score at 24 Hours After Surgery [24 hours after bariatric surgery]: The Quality of Recovery-15 (QoR-15) is a validated questionnaire used to assess the quality of postoperative recovery. The total score ranges from a minimum of 0 to a maximum of 150. A higher score indicates a better quality of recovery.

+Eligibility

Sex: All, ages: 18 Years to 65 Years

Inclusion Criteria:

* Age 18 to 65 years old
* Scheduled for elective bariatric surgery
* American Society of Anesthesiologists (ASA) physical status I, II or III
* Able to understand and complete the QoR-15 questionnaire
* Provide written informed consent to participate in the study

Exclusion Criteria:

* Known allergy or hypersensitivity to opioids, tegileridine or sufentanil
* Severe hepatic or renal dysfunction
* Preoperative chronic opioid use
* History of severe respiratory disease except obstructive sleep apnea
* Pregnant or breastfeeding women
* Participants who cannot complete postoperative follow-up
* Participation in another interventional clinical trial within 30 days before surgery

+Publications

  • Results publication: Wang T, Wang Y, Xie H, Wu Z, Yu S, Ou Y, Xu M, Jiang W, Ge L, Gao J, Wang Q, Gao H, Huang Y, Zhao P, Yu Y, Huang H, Ren J, Xia Z, Zhang J, Yu J, Chen X. Tegileridine for moderate-to-severe acute pain following abdominal surgery: A randomized, double-blind, phase 3 clinical trial. Cell Rep Med. 2025 Dec 16;6(12):102477. doi: 10.1016/j.xcrm.2025.102477. Epub 2025 Dec 8. PMID 41365300
  • Results publication: GBD 2021 Adult BMI Collaborators. Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet. 2025 Mar 8;405(10481):813-838. doi: 10.1016/S0140-6736(25)00355-1. Epub 2025 Mar 3. PMID 40049186