Ketorolac Sublingual vs. Fentanyl Intranasal in Pain Control for Bilateral Myringotomy and Tubes (BMT) Placement in Children

NCT ID: NCT02653742

Last Updated: 2021-09-13

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

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2022-12-31

Brief Summary

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The purpose of this study is to compare the efficacy and safety of ketorolac sublingual with fentanyl intranasal used in our hospital for pain control in children undergoing bilateral myringotomy with placement of pressure equalization tubes (BMTs).

Detailed Description

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This prospective, randomized, allocation concealed blinded study is designed to compare ketorolac sublingual vs. fentanyl intranasal vs. the combination of these two medications for pain control after BMTs in children. Bilateral myringotomy and tube placement is an elective operation, mainly in the pediatric population.

Conditions

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Pain, Postoperative Otitis Media

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Ketorolac

Ketorolac 1mg/kg sublingual, in the form of Ketorolac Tromethamine solution for intravenous/intramuscular use.

Group Type EXPERIMENTAL

Ketorolac

Intervention Type DRUG

Ketorolac 1mg/kg sublingual is administered after induction of general anesthesia.

Fentanyl

Fentanyl 2mcg/kg intranasal, in the form of Fentanyl Citrate solution for intravenous/intramuscular use.

Group Type EXPERIMENTAL

Fentanyl

Intervention Type DRUG

Fentanyl 2mg/kg intranasal is administered after induction of general anesthesia

Ketorolac and Fentanyl

Ketorolac 1mg/kg sublingual, in the form of Ketorolac Tromethamine solution for intravenous/intramuscular use and Fentanyl 2mcg/kg intranasal, in the form of Fentanyl Citrate solution for intravenous/intramuscular use.

Group Type EXPERIMENTAL

Ketorolac

Intervention Type DRUG

Ketorolac 1mg/kg sublingual is administered after induction of general anesthesia.

Fentanyl

Intervention Type DRUG

Fentanyl 2mg/kg intranasal is administered after induction of general anesthesia

Interventions

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Ketorolac

Ketorolac 1mg/kg sublingual is administered after induction of general anesthesia.

Intervention Type DRUG

Fentanyl

Fentanyl 2mg/kg intranasal is administered after induction of general anesthesia

Intervention Type DRUG

Other Intervention Names

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Toradol

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologist (ASA) I-II physical class
* Scheduled for elective BMT
* Mask induction of anesthesia

Exclusion Criteria

* Allergy to any NSAIDs
* Severe upper respirator infection
* Severe asthma
* Bleeding disorders
* History of GI bleeding
* Renal impairment
* Scheduled for one-sided myringotomy and tube placement
Minimum Eligible Age

8 Months

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anica Crnkovic

OTHER

Sponsor Role lead

Responsible Party

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Anica Crnkovic

Anesthesiologist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Anica Crnkovic, MD

Role: PRINCIPAL_INVESTIGATOR

Albany Medical College

Locations

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Albany Medical Center

Albany, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Farzana Afroze, MD

Role: CONTACT

518-262-4300

Anica Crnkovic, MD

Role: CONTACT

518-262-4300

References

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Reference Type BACKGROUND
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He A, Hersh EV. A review of intranasal ketorolac tromethamine for the short-term management of moderate to moderately severe pain that requires analgesia at the opioid level. Curr Med Res Opin. 2012 Dec;28(12):1873-80. doi: 10.1185/03007995.2012.744302. Epub 2012 Nov 9.

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Reference Type BACKGROUND
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Other Identifiers

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3943

Identifier Type: -

Identifier Source: org_study_id

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