Program to reduce opioid use in chronic pain patients after surgery
Official title: Ontario Transitional Pain and Opioid Safety Program: Improving Pain and Opioid Practices for Complex Chronic Pain Patients Following Surgery
Run by University Health Network, Toronto · NCT03675386 · Data updated 2026-11-12
This study is testing a new program to help chronic pain patients use less opioids after surgery by providing pain education and support tools.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 210 (estimated) |
| Sponsor | University Health Network, Toronto Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | October 15, 2018 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | April 30, 2026 |
| Trial ID | NCT03675386 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who are taking 20 to 200 mg of oral morphine equivalents daily and are scheduled for a surgical procedure.
✕Probably not a fit
Patients undergoing palliative care, organ transplantation, or those prescribed Methadone/Buprenorphine may not benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This program aims to help chronic pain patients who are prescribed opioids manage their pain more effectively and reduce their reliance on these medications following surgery. The Toronto General Hospital has developed a multidisciplinary Transitional Pain Service Program (TPSP) that includes pain education, Acceptance and Commitment Therapy (ACT), and an e-mobile self-management tool. A multicenter randomized controlled trial will evaluate the effectiveness of the TPSP across six hospital sites in Ontario, targeting 210 patients currently using opioids. The study will also analyze healthcare utilization and gather qualitative insights from participants to inform future pain management policies.
Why it matters
Potential benefit: If successful, this program could significantly reduce opioid dependence and improve pain management for patients after surgery.
How similar studies have gone: Other studies have shown promise in similar approaches to opioid reduction and pain management, but this specific program is novel in its comprehensive multidisciplinary approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ≥ 18 years of age * Taking 10 -- 400 mg of preoperative oral morphine equivalents daily * Any type of surgical procedure, with the exception of those with palliative intent or organ transplantation * Able to read and understand English as posed on the questionnaire surveys prior to informed consent * Must be taking opioids for at least one month prior to their operation * Must have a personal email address for the set-up of the Manage My Pain (MMP) App or online multimedia tool Exclusion Criteria: • Subjects who are undergoing palliative care or procedures, organ transplantation, or prescribed with Methadone/Buprenorphine will be excluded from the trial
Where it's running
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Toronto General Hospital- University Health Network
Toronto, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Karim Ladha, MD — Toronto General Hospital, University Health Network
- Study coordinator: Karim Ladha, MD
- Email: Karim.Ladha@uhn.ca
- Phone: 416-719-0030
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.