Analgesic Efficacy of Transcutaneous Electrical Nerve Stimulation and Dexketoprofen in Renal Colic

NCT ID: NCT07176572

Last Updated: 2025-10-02

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-01

Study Completion Date

2026-12-31

Brief Summary

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The aim of this study was to compare the analgesic efficacy of transcutaneous electrical nerve stimulation (TENS) and dexketoprofen trometamol in patients presenting to the emergency department due to renal colic.

Detailed Description

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Renal colic is a common presenting complaint to the emergency department and is an intensely painful condition. Parenteral opioids, non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol are commonly used to relieve the pain of renal colic. Dexketoprofen trometamol is a non-steroidal anti-inflammatory drug that is frequently used in the management of acute pain. Common and known side effects of nonsteroidal anti-inflammatory drugs include gastrointestinal system problems and allergic reactions. Transcutaneous electrical nerve stimulation is a non-invasive, non-pharmacological and low-risk treatment method. This study aimed to compare the analgesic efficacy of Transcutaneous electrical nerve stimulation and dexketoprofen trometamol in patients presenting to the emergency department with renal colic.

Study Design and Setting: A prospective, randomized, double-blind, single-center, clinical trial will be conducted in emergency department of a tertiary care university hospital.

Statistical Analysis:

Categorical variables will be presented as numbers and percentages. The Kolmogorov-Smirnov test will be used to evaluate the normality of the distribution of continuous variables. Continuous variables with a non-normal distribution will be expressed as the median and interquartile range (IQR), and those with a normal distribution will be expressed as the mean and standard deviation (SD). The Mann-Whitney U test will be used to analyse non-normally distributed variables to evaluate the differences in visual analog scale scores between the two groups; the Student's t-test will be used for normally distributed variables.

The sample size was calculated using the G\*Power 3.1.9.2 programme. According to the data obtained from the study of renal colic therapy with TENS, a difference of 18.4 mm in visual analogue scale score between the two groups with a standard deviation of 6 mm was assumed. It was calculated that 64 patients were required for each group with a two-sided critical value of α = 0.05, 95% power and an effect size of 0.5.

Conditions

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Renal Colic

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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Real Transcutaneous electrical nerve stimulation (TENS)

Patients receiving the real transcutaneous electrical nerve stimulation (TENS) with 100 hertz, pulse width 200 microseconds, voltage 2 milliampere

Group Type EXPERIMENTAL

TENS

Intervention Type DEVICE

Transcutaneous electrical nerve stimulation (TENS) treatment will be activated + NS IV Infusion 100 ml

dexketoprofen trometamol

50 mg dexketoprofen trometamol

Group Type ACTIVE_COMPARATOR

Dexketoprofen Trometamol

Intervention Type DRUG

50 mg dexketoprofen trometamol in 100 ml normal saline solution + Transcutaneous electrical nerve stimulation treatment will not be activated.

Interventions

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TENS

Transcutaneous electrical nerve stimulation (TENS) treatment will be activated + NS IV Infusion 100 ml

Intervention Type DEVICE

Dexketoprofen Trometamol

50 mg dexketoprofen trometamol in 100 ml normal saline solution + Transcutaneous electrical nerve stimulation treatment will not be activated.

Intervention Type DRUG

Other Intervention Names

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Comfort plus TENS device Ketavel (dexketoprofen trometamol)

Eligibility Criteria

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Inclusion Criteria

\- Aged 18 years or over with a definite diagnosis of renal colic

Exclusion Criteria

* Patients who refuse to participate in the study
* Pregnant women
* Breastfeeding women
* Haemodynamically unstable
* Evidence of peritoneal inflammation
* Patients who were taking analgesics at the time of initial presentation
* Unconsciousness or inability to communicate
* Contraindications to applying TENS or using the drug in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adiyaman University Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Umut Gulacti

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Umut Gulacti, Prof.Dr.

Role: PRINCIPAL_INVESTIGATOR

Adiyaman University of Medical Faculty

Locations

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Adiyaman University Medical Faculty

Adıyaman, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Umut Gulacti, Prof.Dr.

Role: CONTACT

+905355851900

Facility Contacts

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Umut Gulacti, Prof.Dr.

Role: primary

+905355851900

References

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Gulacti U, Algin A, Turgut K, Yavuz E, Aydin I, Buyukaslan H, Lok U, Arslan E, Gonel A. Transcutaneous Electrical Nerve Stimulation (TENS) for the Treatment of Renal Colic in the ED: A Randomized, Double-Blind, Placebo-Controlled Trial. Am J Emerg Med. 2022 Jun;56:127-132. doi: 10.1016/j.ajem.2022.02.044. Epub 2022 Mar 29.

Reference Type BACKGROUND
PMID: 35397352 (View on PubMed)

Al B, Sunar MM, Zengin S, Sabak M, Bogan M, Can B, Kul S, Murat Oktay M, Eren SH. Comparison of IV dexketoprofen trometamol, fentanyl, and paracetamol in the treatment of renal colic in the ED: A randomized controlled trial. Am J Emerg Med. 2018 Apr;36(4):571-576. doi: 10.1016/j.ajem.2017.09.019. Epub 2017 Sep 14.

Reference Type BACKGROUND
PMID: 29029797 (View on PubMed)

Hanna M, Moon JY. A review of dexketoprofen trometamol in acute pain. Curr Med Res Opin. 2019 Feb;35(2):189-202. doi: 10.1080/03007995.2018.1457016. Epub 2018 Apr 24.

Reference Type BACKGROUND
PMID: 29569951 (View on PubMed)

Other Identifiers

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RK-TENSE-2025-AEAH

Identifier Type: -

Identifier Source: org_study_id

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