Trial Outcomes & Findings for IV Ibuprofen for Post-Electroconvulsive Therapy Myalgia (NCT NCT01200069)

NCT ID: NCT01200069

Last Updated: 2017-03-29

Results Overview

subject self reporting rating scale for severity of myalgias utilizing numeric rating scale 0= no pain, 1-3= mild pain, annoyance with little interference with Activities of Daily Living (ADL), 4-6= moderate (interferes significantly with ADL, 7-10 = severe pain unable to perform ADL

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

14 participants

Primary outcome timeframe

Treatment day 1 at 1hour, 6 hour, 24 hours, 48 hours

Results posted on

2017-03-29

Participant Flow

recruited following assigned schedule date and time for first ECT treatment, Procedure took place in Medical Special procedure unit (same day service)

Participant milestones

Participant milestones
Measure
Sugar Water
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatments 1,2 and 3 Placebo infusion: Identically appearing placebo dose administered IV prior to ECT and subsequently on ECT treatments 2 and 3
Ibuprofen
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 ibuprofen intravenous: IV ibuprofen 800mg/8ml given over 30 minutes prior to ECT and subsequently on ECT treatments 2 and 3
Overall Study
STARTED
8
6
Overall Study
COMPLETED
8
5
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Sugar Water
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatments 1,2 and 3 Placebo infusion: Identically appearing placebo dose administered IV prior to ECT and subsequently on ECT treatments 2 and 3
Ibuprofen
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 ibuprofen intravenous: IV ibuprofen 800mg/8ml given over 30 minutes prior to ECT and subsequently on ECT treatments 2 and 3
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

IV Ibuprofen for Post-Electroconvulsive Therapy Myalgia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sugar Water
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatments 1,2 and 3 Placebo infusion: Identically appearing placebo dose administered IV prior to ECT and subsequently on ECT treatments 2 and 3
Ibuprofen
n=6 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 ibuprofen intravenous: IV ibuprofen 800mg/8ml given over 30 minutes prior to ECT and subsequently on ECT treatments 2 and 3
Total
n=14 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
6 participants
n=7 Participants
14 participants
n=5 Participants
Mini Mental State Examination >23
8 participants
n=5 Participants
6 participants
n=7 Participants
14 participants
n=5 Participants

PRIMARY outcome

Timeframe: Treatment day 1 at 1hour, 6 hour, 24 hours, 48 hours

Population: subjects report at one hour following treatment

subject self reporting rating scale for severity of myalgias utilizing numeric rating scale 0= no pain, 1-3= mild pain, annoyance with little interference with Activities of Daily Living (ADL), 4-6= moderate (interferes significantly with ADL, 7-10 = severe pain unable to perform ADL

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=6 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=6 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=6 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=8 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=6 Participants
subject reported myalgia 48 hours after treatment day 1
Subject Self Reported Numerical Rating of Incidence and Severity of Post-Electroconvulsive Therapy Myalgias After Treatment 1
2 units on a scale
Interval 0.0 to 4.0
0 units on a scale
Interval 0.0 to 0.0
7.5 units on a scale
Interval 5.0 to 10.0
1.5 units on a scale
Interval 0.0 to 3.0
2.5 units on a scale
Interval 2.0 to 5.0
.5 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0

PRIMARY outcome

Timeframe: 1 hour, 6 hours, 24 hours & 48 hours following procedure

Subject self reported numerical rating of incidence and severity of post ECT Myalgia after treatment day 2 0=no pain, 1-3=mild pain (annoying, little interference with ADL), 4-6= moderate,( interferes significantly with ADL) 7-10 severe pain (unable to perform everyday activities)

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=5 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=5 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=5 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=8 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=5 Participants
subject reported myalgia 48 hours after treatment day 1
Myalgia Reported on Treatment Day 2
1.5 units on a scale
Interval 0.0 to 3.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
1.5 units on a scale
Interval 0.0 to 3.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0

PRIMARY outcome

Timeframe: 1 hour, 6 hour, 24 hour, 48 hour after 3rd ECT treatment

Subject self reported severity of myalgia based on a self reported assessment utilizing numeric rating scale 0=no myalgia, 1-3=mild myalgia (annoying, little interference with ADL);4-6=moderate (interferes significantly with ADL); 7-10 severe myalgia(unable to perform every day activities)

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=5 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=5 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=5 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=8 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=7 Participants
subject reported myalgia 48 hours after treatment day 1
Myalgia Reported After Treatment #3
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: 1 hour, 6 hours, 24 hours & 48 hours following procedure

Subject self reported numerical rating of incidence and severity of Post ECT pain score for headache at 1, 6, 24 and 48 hours post procedure. Pain Rating 0= no pain, 2-4=moderate pain, 5-7=distressing severe pain, 8-9=intense very severe pain, 10=unbearable pain

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=6 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=6 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=6 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=8 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=6 Participants
subject reported myalgia 48 hours after treatment day 1
Subject Self Reported Numerical Rating of Incidence and Severity of Post Electroconvulsive Therapy Headache After Treatment Day 1
2.6 units on a scale
Interval 0.0 to 6.0
1.5 units on a scale
Interval 0.0 to 5.0
3.1 units on a scale
Interval 3.0 to 10.0
1.3 units on a scale
Interval 0.0 to 4.0
3.6 units on a scale
Interval 0.0 to 5.0
.16 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: 1 hour, 6 hour, 24 hour and 48 hours

Subject self reported numerical rating of incidence and severity of post ECT headache 0=no pain, 2-4=moderate pain, 5-7= distressing severe pain, 8-9= very severe pain, 10=unbearable pain.

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=5 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=5 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=8 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=7 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=8 Participants
subject reported myalgia 48 hours after treatment day 1
Incidence and Severity of Headache After ECT Treatment 2
1.4 units on a scale
Interval 0.0 to 5.0
1.1 units on a scale
Interval 0.0 to 4.0
1.55 units on a scale
Interval 0.0 to 5.0
1 units on a scale
Interval 0.0 to 5.0
.18 units on a scale
Interval 0.0 to 2.0
.14 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0
.14 units on a scale
Interval 0.0 to 1.0

SECONDARY outcome

Timeframe: 1 hour after treatment, 6 hours, 24 hours and 48 hours

Subject self reported numerical rating of incidence and severity of post ECT headache after treatment #3, 0=no pain, 2-4=moderate pain, 5-7=distressing severe pain, 8-9 very serious pain, 10=unbearable pain.

Outcome measures

Outcome measures
Measure
Sugar Water-one Hour After Treatment #1
n=8 Participants
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatment 1, at one hour following procedure
Ibuprofen One Hour After Treatment #1
n=5 Participants
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 subject report of myalgia one hour after completion of procedure number 1
Sugar Water 6 Hours After Procedure #1
n=8 Participants
Subject reported myalgia 6 hours after completion of treatment # 1,
Ibuprofen 6 Hours After Treatment #1
n=5 Participants
subject reported myalgia 6 hours after treatment 1
Sugar Water 24 Hours After Treatment #1
n=8 Participants
subject reported myalgia 24 hours after completion of procedure 1
Ibuprofen 24 Hours After Treatment 1
n=5 Participants
subject reported myalgia 24 hours after procedure 1
Sugar Water 48 Hours After Procedure 1
n=8 Participants
subject reported myalgia 48 hours after procedure 1
Ibuprofen 48 Hours After Treatment 1
n=5 Participants
subject reported myalgia 48 hours after treatment day 1
Incidence of Headache & Severity Headache After ECT Treatment #3
0 units on a scale
Interval 0.0 to 0.0
.64 units on a scale
Interval 0.0 to 4.0
.28 units on a scale
Interval 0.0 to 2.0
1 units on a scale
Interval 0.0 to 6.0
0 units on a scale
Interval 0.0 to 0.0
.16 units on a scale
Interval 0.0 to 1.0
0 units on a scale
Interval 0.0 to 0.0
0 units on a scale
Interval 0.0 to 0.0

Adverse Events

Sugar Water

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Ibuprofen

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sugar Water
n=8 participants at risk
500 mL of ringers lactate over 30 minutes to be administered prior to ECT for treatments 1,2 and 3 Placebo infusion: Identically appearing placebo dose administered IV prior to ECT and subsequently on ECT treatments 2 and 3
Ibuprofen
n=6 participants at risk
800mg/8mL of intravenous ibuprofen over 30 min in 500mL of ringers lactate to be administered prior to ECT for treatments # 1, 2 and 3 ibuprofen intravenous: IV ibuprofen 800mg/8ml given over 30 minutes prior to ECT and subsequently on ECT treatments 2 and 3
Nervous system disorders
dizzyness
25.0%
2/8 • 0-72 hours after each of the 3 treatments
treatment day 1 at 1 hour post ECT procedure subject experienced dizziness treatment day 3 at 6 hour post procedure subject reported dizziness
0.00%
0/6 • 0-72 hours after each of the 3 treatments
treatment day 1 at 1 hour post ECT procedure subject experienced dizziness treatment day 3 at 6 hour post procedure subject reported dizziness
Gastrointestinal disorders
vomiting
0.00%
0/8 • 0-72 hours after each of the 3 treatments
treatment day 1 at 1 hour post ECT procedure subject experienced dizziness treatment day 3 at 6 hour post procedure subject reported dizziness
16.7%
1/6 • 0-72 hours after each of the 3 treatments
treatment day 1 at 1 hour post ECT procedure subject experienced dizziness treatment day 3 at 6 hour post procedure subject reported dizziness

Additional Information

Vasanti Tilak, MD

Rutgers/New Jersey Medical School

Phone: 974 972-5254

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place