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Efficacy and Safety of Combination Therapy with Ketorolac and Morphine in Patient with Acute Renal Colic; A Triple-Blind Randomized Controlled Clinical Trial

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Clinical Trial Protocol

Iranian Registry of Clinical Trials

06 Nov 2022

Efficacy and Safety of Combination Therapy with Ketorolac and Morphine in Patient with Acute Renal Colic; A Triple-Blind Randomized Controlled Clinical Trial

Protocol summary

Summary

(1) Objectives: The aim of the current study is to compare the efficacy and safety of combined therapy with morphine and ketorolac and monotherapy with each drug alone in patients with acute renal colic. (2) Design:

Randomized, triple-blind, placebo-controlled clinical trial.

(3) Setting and conduct: Tertiary general health care center (4) Participants including major eligibility criteria:

A total number of 300 adult patients (18-55 years) with acute renal colic with pain score of more than 5 measured by visual analogue scale (VAS). (5)

Intervention: All the patients will randomly be assigned to received 30mg intravenous ketorolac and 0.1mg/kg morphine (n=100) or intravenous 0.1mg/kg morphine and placebo (n=100) or intravenous 30 mg ketorolac (n=100). (6) Main outcome measures (variables): The pain scores measured by VAS would be recorded at baseline, 20-min and 40-min after the intervention.

General information

Acronym

IRCT registration information

IRCT registration number: IRCT201706032445N6 Registration date: 2017-06-07, 1396/03/17 Registration timing: retrospective

Last update:

Update count: 0 Registration date

2017-06-07, 1396/03/17 Registrant information

Name

Fariborz Ghaffarpasand Name of organization / entity

Shiraz University of Medical Sciences

Country

Iran (Islamic Republic of) Phone

+98 71 3647 4259 Email address

ghafarf@sums.ac.ir Recruitment status

Recruitment complete Funding source

Vice chancellor for research of Mazandaran University of Medical Sciences

Expected recruitment start date 2014-03-01, 1392/12/10

Expected recruitment end date 2014-09-01, 1393/06/10 Actual recruitment start date

empty

Actual recruitment end date empty

Trial completion date empty

Scientific title

Efficacy and Safety of Combination Therapy with

Ketorolac and Morphine in Patient with Acute Renal Colic;

A Triple-Blind Randomized Controlled Clinical Trial Public title

Ketorolac and Morphine for Renal Colic Purpose

Treatment

Inclusion/Exclusion criteria

Inclusion criteria: Age 18-55 years; Clinical diagnosis of acute renal colic (sudden sharp colic flank pain with or without radiation to genitalia or groin and with or without urinary symptoms); Pain score of 5 or more measured by 10-cm visual analogue scale (VAS). Exclusion criteria:

history of kidney or renal dysfunction and severe

(2)

2 dehydration; pregnancy; breastfeeding; single kidney or

kidney transplantation; history of peptic ulcers and gastrointestinal bleeding; receiving analgesics within 6 hours before presentation; history of bleeding diathesis;

history of cardiovascular disease and the use of angiotensin-converting-enzyme inhibitor (ACE inhibitor) or angiotensin receptor blockers (ARB); anticoagulant medication or coagulation disorders; history of drug dependence or current use of methadone or chronic consumption of tobacco and alcohol; peritonitis;

presence of any peritoneal sign.

Age

From 18 years old to 55 years old Gender

Both Phase

2

Groups that have been masked No information

Sample size

Target sample size: 300

Randomization (investigator's opinion) Randomized

Randomization description Blinding (investigator's opinion)

Triple blinded Blinding description Placebo

Used Assignment

Parallel

Other design features

Secondary Ids empty

Ethics committees

1

Ethics committee

Name of ethics committee

Mazandaran University of Medical Sciences Street address

Mazandaran University of Medical Sciences, Vali Asr Avenue, Emam Square

City Sari Postal code Approval date

2015-05-06, 1394/02/16

Ethics committee reference number IR.MAZUMS.REC.94.858

Health conditions studied

1

Description of health condition studied Acute Renal Colic

ICD-10 code N23

ICD-10 code description Unspecified renal colic

Primary outcomes

1

Description Pain Timepoint

0, 20 and 40 minutes Method of measurement

Visual analogue scale

Secondary outcomes

1

Description Adverse effects Timepoint

0, 20 and 40 minutes Method of measurement

Clinical examination

Intervention groups

1

Description

30mg Intravenous Ketorolac + 0.1 mg/kg Intravenous Morphine Sulphate

Category

Treatment - Drugs

2

Description

0.1 mg/kg Intravenous Morphine Sulphate Category

Treatment - Drugs

3

Description

30mg Intravenous Ketorolac Category

Treatment - Drugs

Recruitment centers

1

Recruitment center

Name of recruitment center Emam Khomeini Hospital Full name of responsible person

Mehran Amooei Khanabbasi Street address

(3)

3 City

Sari

Sponsors / Funding sources

1

Sponsor

Name of organization / entity

Vice chancellor for research of Mazandaran University of Medical Sciences

Full name of responsible person Ahmad Ali Enayati

Street address

Faculty of Public Health, KM 18 Kazarabad Road, The Campus of Mazandaran University of Medical Sciences

City Sari Grant name

Grant code / Reference number

Is the source of funding the same sponsor organization/entity?

Yes

Title of funding source

Vice chancellor for research of Mazandaran University of Medical Sciences

Proportion provided by this source 100

Public or private sector empty

Domestic or foreign origin empty

Category of foreign source of funding empty

Country of origin

Type of organization providing the funding empty

Person responsible for general inquiries

Contact

Name of organization / entity

Mazandaran University of Medical Sciences Full name of responsible person

Mehran Amooei Khanabbasi Position

MD

Other areas of specialty/work Street address

Mazandaran University of Medical Sciences, Vali Asr Avenue, Emam Sqaure

City Sari Postal code Phone

+98 921 670 7983 Fax

Email

farzadbozorgi1356@gmail.com Web page address

Person responsible for scientific inquiries

Contact

Name of organization / entity

Mazandran University of Medical Sciences Full name of responsible person

Mehran Amooei Khanabbasi Position

MD

Other areas of specialty/work Street address

Mazandran University of Medical Sciences, Vali Asr Avenue, Emam Square

City Sari Postal code Phone

+98 921 670 7983 Fax

Email

farzadbozorgi1356@gmail.com Web page address

Person responsible for updating data

Contact

Name of organization / entity

Mazandran University of Medical Sciences Full name of responsible person

Mehran Amooei Khanabbasi Position

MD

Other areas of specialty/work Street address

Mazandran University of Medical Sciences, Vali Asr Avenue, Emam Square

City Sari Postal code Phone

+98 921 670 7983 Fax

Email

farzadbozorgi1356@gmail.com Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD) empty

Study Protocol empty

Statistical Analysis Plan empty

Informed Consent Form empty

Clinical Study Report empty

Analytic Code empty Data Dictionary

(4)

4 empty

Referensi

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