Oral NSAI Versus Paracetamol or Placebo as a Second Line Treatment for Renal Colics

NCT ID: NCT02304783

Last Updated: 2024-04-05

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2021-12-31

Brief Summary

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Outpatients treatment with NSAI in renal colics has not been well investigated and there is no clear recommendations regarding this matter.

The aim of this study is to determine if an oral NSAI treatment is beneficial in patients discharged for the emergency departement after the first line treatment of a renal colic investigating the recurrence of pain, the reconsultation rates and the admissions.

Detailed Description

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Renal colic (RC)are a frequent cause of consultation in the emergency departement (ED).

They count for approximatively 20% of patients presenting to the ED with severe acute onset abdominal pain.

The first line treatment of renal colics is based on NSAI drugs associated with antalgics and is further investigated in the NSAI vs Morphine study (NCT02156596).

But there is no clear recommendations regarding the outpatient treatment of renal colics.

Oral NSAI are still widely used as a second line medicine for this condition and variety of molecules were tried with no solid scientific arguments.

Piroxicam, a non-selective COX inhibitor drug appared to the Oxicam class of NSAI, is widely used to treat rheumatoid conditions and other inflammatory conditions and often prescribed in Tunisia as a second line treatment of RC.

In this study, we aimed to investigate the efficiency and safety of the use of oral NSAI drugs (Piroxicam) compared to paracetamol or placebo as a second line treatment of renal colics.

Conditions

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Renal Colic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Oral Piroxicam

Piroxicam : 20 mg per pill; one pill per day for five days associated with placebo (1pill) (taken separately)

Group Type ACTIVE_COMPARATOR

Piroxicam

Intervention Type DRUG

Patients allocated to this arm received, as a second line treatment of renal colics, a five days treatment with 20 mg piroxicam associated with placebo per day and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

Placebo

Placebo: two pills per day for five days (taken separately)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patients allocated to this arm received a five days treatment with Placebo and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

paracetamol

paracetamol: 2000mg per day for five days two pills taken separately)

Group Type ACTIVE_COMPARATOR

paracetamol

Intervention Type DRUG

Patients allocated to this arm received a five days treatment with Paracetamol and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

Interventions

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Piroxicam

Patients allocated to this arm received, as a second line treatment of renal colics, a five days treatment with 20 mg piroxicam associated with placebo per day and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

Intervention Type DRUG

Placebo

Patients allocated to this arm received a five days treatment with Placebo and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

Intervention Type DRUG

paracetamol

Patients allocated to this arm received a five days treatment with Paracetamol and were contacted at the seventh day by telephone call to investigate the efficacity and the side effects of the treatment.

Intervention Type DRUG

Other Intervention Names

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Piroxen

Eligibility Criteria

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Inclusion Criteria

* Over 18 years old
* Consenting to participate in the study
* Patients treated in the ED for RC
* No contraindications of NSAI treatment

Exclusion Criteria

* Patients excluded from the first phase of the study
* Contraindication of NSAI treatment
* Patients non reachable by telephone call
* Patients that did not receive or use the treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Monastir

OTHER

Sponsor Role lead

Responsible Party

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Pr. Semir Nouira

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Semir Nouira, MD

Role: PRINCIPAL_INVESTIGATOR

University of Monastir

Locations

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Emergency Department of University Hospital of Monastir

Monastir, , Tunisia

Site Status

Countries

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Tunisia

Related Links

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http://www.urgencemonastir.com

official department site

Other Identifiers

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Oral NSAI in RC

Identifier Type: -

Identifier Source: org_study_id

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