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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01471639
Other study ID # LUI-S4
Secondary ID
Status Completed
Phase N/A
First received November 4, 2011
Last updated January 16, 2017
Start date November 2011
Est. completion date June 2012

Study information

Verified date January 2017
Source The Cleveland Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the effectiveness, the safety, and the tolerability of intranasal ketorolac (Sprix) in relieving acute pain in adults ages 18-64 who come to the ED seeking care. Considering all ED visits, pain is the most common chief complaint. Giving intranasal ketorolac (Sprix) after stomach and dental surgeries has been shown to be safe and effective, but no studies have investigated the use of intranasal ketorolac (Sprix) for the treatment of acute pain in the ED.

Ketorolac (Sprix) has several advantages over other drugs commonly given for pain, including opioids. Ketorolac (Sprix) is non-addicting and has fewer side effects than opioids. The administration of ketorolac (Sprix) by other methods, such as IV, intramuscular shot, and oral pill form, has been shown to be safe and effective in treating acute pain.

This study is being done to find out if giving ketorolac (Sprix) as a single dose nasal spray will have the same benefit in decreasing patient's pain.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date June 2012
Est. primary completion date June 2012
Accepts healthy volunteers No
Gender All
Age group 18 Years to 64 Years
Eligibility Inclusion Criteria:

1. Patient is being seen in the emergency department (ED) in acute pain from an acute illness or injury (such as a kidney stone or an acute musculoskeletal injury)

2. Age = 18 years and < 65 years

3. Stable patient with stable vital signs, including not in shock (systolic BP >90), not in respiratory failure, and not a multiple trauma patient

4. Mentally competent patient is able to understand the consent form

5. Baseline pain score is moderate to severe (e.g. on NRS = 4 on a 0 to 10 NRS or = 40 on a 0 to 100 NRS)

Exclusion Criteria:

1. Unstable patients

2. Multiple trauma patients

3. Patients with any allergies to ketorolac or any of the components in the nasal spray preparation

4. Patients with active peptic ulcer disease

5. Patients with a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDS

6. Patients about to undergo major surgery

7. Patients with renal disease or at risk for renal failure due to volume depletion

8. Pregnant or nursing mothers

9. Patients with suspected or confirmed cerebrovascular bleeding, patients with hemorrhagic diathesis, and/or those at high-risk of bleeding

10. Patient with a nasal abnormality or illness that could affect the absorption of intranasal medication (such as: nasal discharge, rhinitis, acute upper respiratory infection, acute epistaxis, nasal polyp, nasal tumor)

11. Patient with any other contraindication to the use of Sprix, or in whom use of Sprix would not be consistent with the approved package insert

12. History of chronic pain

13. History of drug abuse

14. History of significant neurologic disorder (could include diseases such as diabetic neuropathy, Parkinson's disease, etc)

15. History of significant psychiatric disorder

16. History of being on medications that may affect neurotransmitters (such as certain neurologic or psychiatric medications)

17. No immediate post-op patients

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
intranasal ketorolac
15 mg

Locations

Country Name City State
United States Cleveland Clinic Cleveland Ohio

Sponsors (2)

Lead Sponsor Collaborator
The Cleveland Clinic Luitpold Pharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Pain scores on the visual analog scale Numeric rating scale (VAS) 0-10 ,0 (no pain)- 5 (moderate pain)- (10) worst pain . Scale to be utilized after application of intranasal Ketorolac. 20 (+/- 5 ) minutes after application of intranasal Ketorolac
Secondary Number of participants with adverse events Utilized as a measure of safety and tolerability. 20 minutes after application of intrnasal Ketorolac
Secondary Pain scores on the Visual Analog Scale Numeric rating scale (VAS) 0-10 ,0 (no pain)- 5 (moderate pain)- (10) worst pain . Scale to be utilized after application of intranasal Ketorolac. 40 (+/-) 5 ) minutes after application of intrnasal Ketorolac
Secondary Pain scores on the Visual Analog Scale Numeric rating scale (VAS) 0-10 ,0 (no pain)- 5 (moderate pain)- (10) worst pain . Scale to be utilized after application of intranasal Ketorolac. 1 hour (+/- 5 minutes) after application of intranasal Ketorolac
Secondary Pains scores on the visual analog scale Numeric rating scale (VAS) 0-10 ,0 (no pain)- 5 (moderate pain)- (10) worst pain . Scale to be utilized after application of intranasal Ketorolac. 2 hours (=/- 5 minutes) after application of intranasal Ketorolac
Secondary Satisfaction of patient and health care provider. Questionnaire for both the patient and the healthcare provider to be completed after the intravenous cannulation. Within 1 hour of application of intrnasal Ketrolac
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