Investigating the Safety of Post-surgical Analgesics in Children With Obstructive Sleep Apnea

NCT ID: NCT01680939

Last Updated: 2013-05-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Brief Summary

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Every year thousands of young children with obstructive sleep apnea undergo surgery which requires them to be prescribed pain medication. The current standard in North America is administration of opioids, mainly codeine or morphine; however in many areas of the world including Canada, nonsteroidal anti-inflammatory medications such as ibuprofen are used. Some North American surgeons are uncertain regarding the potential of ibuprofen to increase bleeding following surgery. The results of research studies have been inconclusive overall. Due to recent codeine fatalities in children following adenotonsillectomy, codeine has been removed from the formulary at many Pediatric institutions. Some surgeons have begun to use oral morphine as an alternate to codeine, which necessitates the need to find safe alternative analgesics in this treatment group.

The primary objectives of this study is to assess the safety(1) and efficacy (2) of morphine and ibuprofen in children with sleep apnea.

An interim analysis will be conducted after recruitment of 70 patients, to monitor both safety and efficacy

Detailed Description

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Conditions

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Pediatric Obstructive Sleep Apnea Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Morphine

Receives morphine for post-surgical pain

Group Type EXPERIMENTAL

Morphine

Intervention Type DRUG

0.2-0.5 mg/kg PO q4h

Ibuprofen

Receives ibuprofen for post-surgical pain

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

10mg/kg PO q6hrs

Interventions

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Morphine

0.2-0.5 mg/kg PO q4h

Intervention Type DRUG

Ibuprofen

10mg/kg PO q6hrs

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosed with OSAS,
* scheduled for tonsillectomy plus/minus adenoid removal at MUMC,
* between the ages of 1-10years

Exclusion Criteria

* contraindications to analgesia,
* asthma,
* has had previous adenotonsillectomy, or
* any craniofacial,
* neuromuscular or cardiac conditions
Minimum Eligible Age

1 Year

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Hospital for Sick Children

OTHER

Sponsor Role collaborator

University of Western Ontario, Canada

OTHER

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role lead

Responsible Party

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Doron Sommer

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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McMaster University Medical Centre

Hamilton, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Lauren Kelly, MSc. BMSc. PHD candidate

Role: CONTACT

(519) 661-2111 ext. 83221

Facility Contacts

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Doron Sommer, MD

Role: primary

References

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Kelly LE, Sommer DD, Ramakrishna J, Hoffbauer S, Arbab-Tafti S, Reid D, Maclean J, Koren G. Morphine or Ibuprofen for post-tonsillectomy analgesia: a randomized trial. Pediatrics. 2015 Feb;135(2):307-13. doi: 10.1542/peds.2014-1906.

Reference Type DERIVED
PMID: 25624387 (View on PubMed)

Other Identifiers

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OSAS-HHSC2012

Identifier Type: -

Identifier Source: org_study_id

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