Burn Healing and Analgesia With Propranolol (BURN HELP)
The BURN HELP Trial: BURN Healing and AnaLgesia With Propranolol
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
District of Columbia
-
Washington, D.C., District of Columbia, United States, 20011
- Washington Hospital Center
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- North Carolina Jaycee Burn Center
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Wake Forest, North Carolina, United States, 27587
- Wake Forest University Baptist
-
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Pennsylvania
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Upland, Pennsylvania, United States, 19102
- Crozer Chester Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Thermal burn
- Greater than or equal to 18 years of age
- Less than 60 years of age
- Able to speak and read English
Exclusion Criteria:
- Intubated
- Clinically unstable
- Other substantial comorbid injury (e.g. long bone fracture)
- Heart block greater than first degree (EKG)
- History of coronary artery disease
- History of congestive heart failure
- Asthma (within past 10 years, induced by a beta-blocker, or receiving current treatment)
- Pregnant
- Prisoner
- Psychotic, suicidal, or homicidal
- Diabetic
- Hepatic failure (acute or chronic)
- Renal failure (acute or chronic)
- History of hyperthyroidism unless taking synthroid or other thyroid hormone replacement
- Exceeds daily acceptable chronic opioid use prior to burn
- Interacting medication
- Received propranolol within the last 6 months
- Multiple severe allergic reactions
- On daily methylphenidate or similar stimulant medication
- Unwilling to use medically acceptable birth control (if childbearing potential)
- Breastfeeding
- Severe peripheral vascular disease or vasospastic disorder
- Bradycardia that in the opinion of the investigator would constitute too great a risk when considered in the context of the patient's medical comorbidities and health history
- Other criteria that in investigator's opinion makes participant poor candidate for the trial
- Cancer (except basal cell cancer)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
PLACEBO_COMPARATOR: Sugar pill
|
sugar pill
Other Names:
|
|
EXPERIMENTAL: Propranolol, Propanolol ER
|
40 mg
Other Names:
120 mg twice per day
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Pain Trajectory Slopes
Time Frame: Study days 5, 7, 10, 13, 17 and 19
|
Overall pain trajectory slopes by treatment group, where linear mixed modeling was used to combine pain measurements (waking, worst, and least pain) assessed on primary outcome days into an overall pain score.
Pain was assessed using a 0-10 numeric rating scale (NRS).
A lower score on the NRS indicated less pain and a higher score was indicative of worse pain.
|
Study days 5, 7, 10, 13, 17 and 19
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sleep Quality
Time Frame: 6 weeks after injury timepoint was chosen for this analysis
|
Medical Outcomes Survey Sleep Quality Subscale.
This is a 0-10 numeric rating scale in which patients rate their sleep quality.
0 represents poor sleep quality whereas 10 represents a restful night of sleep.
|
6 weeks after injury timepoint was chosen for this analysis
|
|
Itch Symptoms
Time Frame: Week 6 after injury was chosen as the main timepoint of interest
|
Average itch intensity measured with a 0-10 numeric rating scale, 6 weeks was used as main outcome timepoint for itch symptom burden.
0 represents no itch symptoms and 10 represents the most severe itch symptoms.
|
Week 6 after injury was chosen as the main timepoint of interest
|
|
Anxiety Symptoms
Time Frame: 6 weeks after injury was chosen as the main timepoint of interest
|
Anxiety severity via the State Trait Personality Inventory (STPI), range 10-40, 40 represents high anxiety.
|
6 weeks after injury was chosen as the main timepoint of interest
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Samuel McLean, MD, MPh, University of North Carolina, Department of Anesthesiology
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 09-0681
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