Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 6 Months to 4

Comparing pain relief methods after cleft palate surgery in children

Official title: Perioperative Methadone Use for Cleft Palate Repair: A Randomized Controlled Trial

Run by Duke University · NCT06962306 · Data updated 2026-11-12

This study is testing whether short-acting or long-acting pain medications work better for managing pain in young children after cleft palate surgery.

Quick facts

PhasePhase 4
Study typeInterventional
Ages6 Months to 4 Years
SexAll
Enrollment60 (estimated)
SponsorDuke University
Academic / other
Locations1 site (Durham, North Carolina)
StatusRecruiting
StartedJune 4, 2025
Main results expectedJune 4, 2027
Study endsJuly 4, 2027
Registry record updatedApril 14, 2026
Trial IDNCT06962306 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are infants and young children aged 6 months to 4 years scheduled for primary cleft palate repair.

Probably not a fit

Patients with chronic kidney or liver disease or those requiring admission to the Pediatric Intensive Care Unit may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of short-acting opioids versus long-acting opioids for managing postoperative pain in infants and young children undergoing cleft palate surgery. It is a single-center, randomized, double-blind trial where participants will be assigned to receive either methadone or short-acting opioids like fentanyl and hydromorphone. The study will monitor pain control indices and collect exploratory data for up to 30 days following surgery. The surgical and anesthesia protocols will remain unchanged, focusing solely on opioid management.

Why it matters

Potential benefit: If successful, this study could lead to improved pain management strategies for children undergoing cleft palate surgery.

How similar studies have gone: Other studies have explored opioid management in postoperative care, but this specific comparison of long-acting versus short-acting opioids in this population is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 6 months to 4 years of age
* Primary cleft palate repair
* Signed informed consent by parent or legal guardian

Exclusion Criteria:

* History of chronic kidney or liver disease
* Planned admission to the Pediatric Intensive Care Unit (PICU)
* Additional procedures under general anesthesia for which opioids would be prescribed
* Any patient ineligible for study participation at the discretion of the investigators

Where it's running

  • Duke University Medical Center
    Durham, North Carolina, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.