Intravenous Subdissociative-dose Ketamine Versus Morphine for Prehospital Analgesia

NCT ID: NCT03236805

Last Updated: 2022-12-21

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

285 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-23

Study Completion Date

2022-11-26

Brief Summary

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This is a prospective, randomized, single-blind trial evaluating prehospital patients experiencing moderate to severe acute pain, defined as a numeric rating scale score greater than or equal to 5. Patients will be randomized to receive ketamine at or morphine by intravenous push.

Detailed Description

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This study is designed to evaluate if ketamine alone is non inferior to morphine alone for prehospital analgesia. Numeric rating scale pain scores will be compared between recipients of ketamine and recipients of morphine at 15, 30, 45 and 60 min post first injection and at hospital admission.

Conditions

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Pain Management

Keywords

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Morphine Ketamine Acute pain prehospital

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Ketamine IV

Group Type EXPERIMENTAL

Ketamine

Intervention Type DRUG

Initial bolus of 20 mg (around 0.3 mg per kg) followed by bolus of 10 mg every 5 minutes as reported by the recommandations of experts of the french society of urgency care

Morphine IV

Group Type ACTIVE_COMPARATOR

Morphine

Intervention Type DRUG

Bolus of 2 mg (patient with weight under 60 kgs) or bolus of 3 mg (patient with weight above 60 kgs) every 5 minutes as reported by the recommandations of experts of the french society of urgency care

Interventions

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Ketamine

Initial bolus of 20 mg (around 0.3 mg per kg) followed by bolus of 10 mg every 5 minutes as reported by the recommandations of experts of the french society of urgency care

Intervention Type DRUG

Morphine

Bolus of 2 mg (patient with weight under 60 kgs) or bolus of 3 mg (patient with weight above 60 kgs) every 5 minutes as reported by the recommandations of experts of the french society of urgency care

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* older than 18 years old
* prehospital moderate to severe acute pain, defined as a numeric rating scale score greater than or equal to 5

Exclusion Criteria

* unstable vital signs (systolic blood pressure \<90 or \>200 mm Hg, pulse rate \<50 or \>150 beats/min, and respiration rate \<10 or \>30 breaths/min)
* pregnancy
* breast-feeding
* altered mental status
* unable to give numeric rating scale scores
* allergy to morphine or ketamine
* acute pulmonary edema
* acute coronary syndrome
* renal or hepatic insufficiency
* patient who received morphine for the same acute pain
* acute psychiatric illness
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joel JENVRIN, Doctor

Role: PRINCIPAL_INVESTIGATOR

Nantes University Hospital

Locations

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Angers University Hospital

Angers, , France

Site Status

University Hospital of Bordeaux

Bordeaux, , France

Site Status

Hospital of Chateaubriant

Châteaubriant, , France

Site Status

CH de Gonesse

Gonesse, , France

Site Status

Grenoble University Hospital

Grenoble, , France

Site Status

La Roche sur Yon Hospital

La Roche-sur-Yon, , France

Site Status

Le Mans University Hospital

Le Mans, , France

Site Status

Nantes University Hospital

Nantes, , France

Site Status

Quimper Hospital

Quimper, , France

Site Status

Rennes University Hospital

Rennes, , France

Site Status

Hospital of Saint Nazaire

Saint-Nazaire, , France

Site Status

Tours University Hospital

Tours, , France

Site Status

Countries

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France

References

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Le Cornec C, Le Pottier M, Broch H, Marguinaud Tixier A, Rousseau E, Laribi S, Janiere C, Brenckmann V, Guillerm A, Deciron F, Kabbaj A, Jenvrin J, Pere M, Montassier E. Ketamine Compared With Morphine for Out-of-Hospital Analgesia for Patients With Traumatic Pain: A Randomized Clinical Trial. JAMA Netw Open. 2024 Jan 2;7(1):e2352844. doi: 10.1001/jamanetworkopen.2023.52844.

Reference Type DERIVED
PMID: 38285446 (View on PubMed)

Le Cornec C, Lariby S, Brenckmann V, Hardouin JB, Ecoffey C, Le Pottier M, Fradin P, Broch H, Kabbaj A, Auffret Y, Deciron F, Longo C, Javaudin F, Le Bastard Q, Jenvrin J, Montassier E. Is intravenously administered, subdissociative-dose KETAmine non-inferior to MORPHine for prehospital analgesia (the KETAMORPH study): study protocol for a randomized controlled trial. Trials. 2018 May 2;19(1):260. doi: 10.1186/s13063-018-2634-3.

Reference Type DERIVED
PMID: 29716637 (View on PubMed)

Other Identifiers

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RC17_0082

Identifier Type: -

Identifier Source: org_study_id