Multi-dose Ibuprofen Prophylaxis for IUD-insertion

NCT ID: NCT03868137

Last Updated: 2020-10-09

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

NA

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-28

Study Completion Date

2022-05-31

Brief Summary

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This study compares the effectiveness of decreasing pain at time of and day after intrauterine device (IUD) insertion when patients take three doses of Ibuprofen versus three doses of placebo.

Detailed Description

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Ibuprofen is commonly used over the counter and prescribed for pain relief such as menstrual cramps. Intrauterine (IUD) insertion can cause pain during and after the insertion. Currently, studies have found that single dose of Ibuprofen take prior to IUD insertion does decrease pain at time of IUD insertion. This study will examine whether 3 doses of Ibuprofen can decrease pain at time of and 1 day after IUD insertion.

Conditions

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Pelvic Pain IUD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Triple blind randomized control trial involving placebo arm and intervention arm (Ibuprofen)
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
A randomization sequence will be generated and given to the research pharmacist who will dispense the appropriate medications to the participants in each arm. Only the pharmacist will know which patient is in which trial arm until the study has ended and data has been analyzed.

Study Groups

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Placebo

3 doses of placebo identical to study drug will be given to patients starting 1 day before IUD insertion

Group Type PLACEBO_COMPARATOR

Placebos

Intervention Type DRUG

Placebo

Ibuprofen

3 doses of Ibuprofen 800 mg will be given to patients starting 1 day before IUD insertion. Patient will take 800 mg Ibuprofen at noon and 8 PM day before IUD insertion and at 8 AM on the day of IUD insertion.

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

3 doses of Ibuprofen 800 mg

Interventions

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Ibuprofen

3 doses of Ibuprofen 800 mg

Intervention Type DRUG

Placebos

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18
* Female
* Able to provide informed consent
* English speaking
* Able to provide telephone and address contact information
* Able and willing to receive HIPAA compliant telephone texts and phone messages
* Stable (the same) address and phone number within the last 6 months.

Exclusion Criteria

* Contraindications to IUD insertion (active pelvic infection, current pregnancy)
* Contraindications to NSAIDs (allergy, history of asthma, history of aspirin allergy, history of kidney disease, history of stomach ulcer, history of active GI bleeding, history of liver disease)
* Not undergoing any other concurrent office procedures
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Orlando VA Medical Center

FED

Sponsor Role lead

Responsible Party

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Chensi Ouyang

Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Orlando VA Medical Center

Orlando, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Chensi Ouyang, MD

Role: CONTACT

407-631-1000

Facility Contacts

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Chensi Ouyang, MD

Role: primary

References

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Kavanaugh ML, Jerman J, Finer LB. Changes in Use of Long-Acting Reversible Contraceptive Methods Among U.S. Women, 2009-2012. Obstet Gynecol. 2015 Nov;126(5):917-927. doi: 10.1097/AOG.0000000000001094.

Reference Type BACKGROUND
PMID: 26444110 (View on PubMed)

Asker C, Stokes-Lampard H, Beavan J, Wilson S. What is it about intrauterine devices that women find unacceptable? Factors that make women non-users: a qualitative study. J Fam Plann Reprod Health Care. 2006 Apr;32(2):89-94. doi: 10.1783/147118906776276170.

Reference Type BACKGROUND
PMID: 16824298 (View on PubMed)

Hubacher D, Reyes V, Lillo S, Pierre-Louis B, Zepeda A, Chen PL, Croxatto H. Preventing copper intrauterine device removals due to side effects among first-time users: randomized trial to study the effect of prophylactic ibuprofen. Hum Reprod. 2006 Jun;21(6):1467-72. doi: 10.1093/humrep/del029. Epub 2006 Feb 16.

Reference Type BACKGROUND
PMID: 16484309 (View on PubMed)

Jensen HH, Blaabjerg J, Lyndrup J. [Prophylactic use of prostaglandin synthesis inhibitors in connection with IUD insertion]. Ugeskr Laeger. 1998 Nov 23;160(48):6958-61. Danish.

Reference Type BACKGROUND
PMID: 9846090 (View on PubMed)

Chor J, Bregand-White J, Golobof A, Harwood B, Cowett A. Ibuprofen prophylaxis for levonorgestrel-releasing intrauterine system insertion: a randomized controlled trial. Contraception. 2012 Jun;85(6):558-62. doi: 10.1016/j.contraception.2011.10.015. Epub 2011 Dec 15.

Reference Type BACKGROUND
PMID: 22176793 (View on PubMed)

Bednarek PH, Creinin MD, Reeves MF, Cwiak C, Espey E, Jensen JT; Post-Aspiration IUD Randomization (PAIR) Study Trial Group. Prophylactic ibuprofen does not improve pain with IUD insertion: a randomized trial. Contraception. 2015 Mar;91(3):193-7. doi: 10.1016/j.contraception.2014.11.012. Epub 2014 Nov 25.

Reference Type BACKGROUND
PMID: 25487172 (View on PubMed)

Massey SE, Varady JC, Henzl MR. Pain relief with naproxen following insertion of an intrauterine device. J Reprod Med. 1974 Dec;13(6):226-31. No abstract available.

Reference Type BACKGROUND
PMID: 4612152 (View on PubMed)

Ngo LL, Ward KK, Mody SK. Ketorolac for Pain Control With Intrauterine Device Placement: A Randomized Controlled Trial. Obstet Gynecol. 2015 Jul;126(1):29-36. doi: 10.1097/AOG.0000000000000912.

Reference Type BACKGROUND
PMID: 26241253 (View on PubMed)

Ngo LL, Braaten KP, Eichen E, Fortin J, Maurer R, Goldberg AB. Naproxen Sodium for Pain Control With Intrauterine Device Insertion: A Randomized Controlled Trial. Obstet Gynecol. 2016 Dec;128(6):1306-1313. doi: 10.1097/AOG.0000000000001746.

Reference Type BACKGROUND
PMID: 27824753 (View on PubMed)

Trussell J. Contraceptive failure in the United States. Contraception. 2011 May;83(5):397-404. doi: 10.1016/j.contraception.2011.01.021. Epub 2011 Mar 12.

Reference Type RESULT
PMID: 21477680 (View on PubMed)

Lethaby A, Hussain M, Rishworth JR, Rees MC. Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. Cochrane Database Syst Rev. 2015 Apr 30;(4):CD002126. doi: 10.1002/14651858.CD002126.pub3.

Reference Type RESULT
PMID: 25924648 (View on PubMed)

Other Identifiers

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1335793-1

Identifier Type: -

Identifier Source: org_study_id

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