Prehospital Analgesia INtervention Trial (PAIN)

NCT ID: NCT05437575

Last Updated: 2025-12-17

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

994 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-27

Study Completion Date

2029-07-31

Brief Summary

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The Prehospital Analgesia INtervention trial (PAIN) is a proposed 4 year (3-year enrollment) multicenter, prehospital, randomized, double-blind, clinical trial that will enroll approximately 994 patients at select LITES Network sites. The objective is to perform a prospective, interventional, randomized trial among prehospital trauma patients with compensated shock (SI≥0.9 or HR ≥115) and an indication for pain management, comparing patient centered outcomes following prehospital administration of ketamine hydrochloride versus fentanyl citrate.

Detailed Description

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Conditions

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Traumatic Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Ketamine Hydrochloride

2 blinded doses 2.5mg/ml ketamine hydrochloride in separately sealed pre-filled syringes Subjects will be administered the first dose over approximately 2 minutes via slow IV push. Pain assessment following administration will be obtained and recorded every 15 minutes. Redosing may occur after approximately 15 minutes if the subject has a qualifying pain score, there are no contraindications to pain medication per local protocol, and no exclusion criteria have been met.

Group Type EXPERIMENTAL

Ketamine Hydrochloride

Intervention Type DRUG

ketamine hydrochloride 2.5mg/ml packaged in pre-filled syringe

Fentanyl Citrate

2 blinded doses 10mcg/ml in separately sealed pre-filled syringes Subjects will be administered the first dose over approximately 2 minutes via slow IV push. Pain assessment following administration will be obtained and recorded every 15 minutes. Redosing may occur after approximately 15 minutes if the subject has a qualifying pain score, there are no contraindications to pain medication per local protocol, and no exclusion criteria have been met.

Group Type ACTIVE_COMPARATOR

Fentanyl Citrate

Intervention Type DRUG

fentanyl citrate 10mcg/ml packaged in pre-filled syringe

Interventions

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Ketamine Hydrochloride

ketamine hydrochloride 2.5mg/ml packaged in pre-filled syringe

Intervention Type DRUG

Fentanyl Citrate

fentanyl citrate 10mcg/ml packaged in pre-filled syringe

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Transport after injury to a participating PAIN Trauma center
* 2\. Patient with compensated shock as defined by Shock Index (SI) ≥0.9 or Heart Rate (HR) ≥115.
* Intravenous pain medication indicated (CPOT≥2, NRS≥5) prior to arrival at the trauma center

Exclusion Criteria

* No IV access
* Age \<18 years
* Females \<50 years of age
* SBP\>180 mmHg at time of enrollment
* Advanced airway management prior to first dose administration
* Known allergy to fentanyl citrate or ketamine hydrochloride
* Known prisoner
* Objection to study voiced by subject or family member at scene
* Pain treatment contraindicated by local protocol
* Wearing a "NO PAIN STUDY" bracelet
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Jason Sperry

OTHER

Sponsor Role lead

Responsible Party

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Jason Sperry

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jason Sperry, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of California, San Diego

San Diego, California, United States

Site Status RECRUITING

Zuckerberg San Francisco General Hospital

San Francisco, California, United States

Site Status RECRUITING

Cooper University Health Care

Camden, New Jersey, United States

Site Status RECRUITING

Atrium Health and Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

Allegheny Health Network (AHN) Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Guthrie Robert Packer Hospital

Sayre, Pennsylvania, United States

Site Status RECRUITING

University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status SUSPENDED

Countries

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United States

Central Contacts

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Jason Sperry, MD

Role: CONTACT

412-802-8270

Facility Contacts

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Laura Haines, MD

Role: primary

619-543-7200

Lucy Kornblith, MD

Role: primary

415-609-6924

Tanya Egodage

Role: primary

856-342-3341

Addison May, MD

Role: primary

704 446-2504

Jason McMullan, MD

Role: primary

513-675-3072

Philip Nawrocki, MD

Role: primary

4124876590

Jason Sperry, MD

Role: primary

412-647-3065

Jon Rittenberger, MD

Role: primary

570-887-4318

Scott Youngquist, MD

Role: primary

Other Identifiers

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HT94252430002

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

STUDY22010164

Identifier Type: -

Identifier Source: org_study_id