Trial Outcomes & Findings for Opioid Free Management After Ureteroscopy (NCT NCT03872843)

NCT ID: NCT03872843

Last Updated: 2021-03-11

Results Overview

Number of tablets taken after surgery

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

22 participants

Primary outcome timeframe

between baseline through day 7

Results posted on

2021-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Opioid Group
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Overall Study
STARTED
12
10
Overall Study
COMPLETED
7
3
Overall Study
NOT COMPLETED
5
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Opioid Group
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Overall Study
Lost to Follow-up
5
7

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Opioid Group
n=7 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
n=3 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Total
n=10 Participants
Total of all reporting groups
Age, Continuous
57 years
n=7 Participants
53 years
n=3 Participants
56 years
n=10 Participants
Sex: Female, Male
Female
2 Participants
n=7 Participants
1 Participants
n=3 Participants
3 Participants
n=10 Participants
Sex: Female, Male
Male
5 Participants
n=7 Participants
2 Participants
n=3 Participants
7 Participants
n=10 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
7 participants
n=7 Participants
3 participants
n=3 Participants
10 participants
n=10 Participants

PRIMARY outcome

Timeframe: between baseline through day 7

Population: 12 subjects out of total 22 enrolled were lost to follow up

Number of tablets taken after surgery

Outcome measures

Outcome measures
Measure
Opioid Group
n=7 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
n=3 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Amount of Pain Medication Used
7.3 tablets
Interval 3.0 to 25.0
6.67 tablets
Interval 0.0 to 11.0

PRIMARY outcome

Timeframe: baseline through day 7

Population: 12 subjects out of total 22 enrolled were lost to follow up

Number of Subjects Who Need Additional Pain medication and/or Refill

Outcome measures

Outcome measures
Measure
Opioid Group
n=7 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
n=3 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Number of Subjects Who Need Additional Pain Medication and/or Refill
0 Participants
0 Participants

SECONDARY outcome

Timeframe: day 7

Population: 12 subjects out of total 22 enrolled were lost to follow up

Ureteral stent symptom questionnaire Urinary Symptom score ranges from 11 to 56 with a higher score denoting a worse outcome.

Outcome measures

Outcome measures
Measure
Opioid Group
n=7 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Norco 5milligram-325milligram Tablet for postoperative pain after ureteroscopy with stent placement. Norco 5milligram-325milligram Tablet: Designated coated 7 days supply of pain medication (Norco 5 milligram-325milligram Tablet) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times per day until the stent will be removed in clinic a week later.
Non-Opioid Group
n=3 Participants
This group includes subjects with renal stones who are consented for a ureteroscopy. They will be randomized to Ibuprofen 400 milligram for postoperative pain after ureteroscopy with stent placement. Ibuprofen 400 MILLIGRAM in 1 TABLET ORAL TABLET, FILM COATED: Designated coated 7 days supply of pain medication (Ibuprofen 400 milligram) will be sent home with discharged subjects. Pain medication is administered/scheduled 4 times a day as needed until the stent will be removed in clinic a week later.
Urinary Index
29.2 score on a scale
Interval 20.0 to 42.0
22.3 score on a scale
Interval 16.0 to 27.0

Adverse Events

Opioid Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-Opioid Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jorge Gutierrez

Wake Forest

Phone: 336-716-2011

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place