- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01667120
The Use of Ketorolac in Surgical Neonates
The general purpose of this study is to characterize the safety profile of ketorolac in infants age 0-3 months. Our hypothesis is that ketorolac is safe in neonates, and effective in controlling pain with less narcotic administration required. Ketorolac 0.5mg/kg intravenously every 8 hrs for 72hrs will be administered versus an equivalent volume of 0.9% normal saline as placebo.
Primary: The primary purpose of this study is to compare bleeding events in neonates who receive ketorolac and those who do not receive ketorolac. The investigators hypothesize that ketorolac is safe and effective in infants > 37wks gestation and at least one week of age.
Secondary: The investigators intend to evaluate daily creatinine levels, pain scores, urine output per shift, platelet counts, hemoglobin levels, number of days on the ventilator, amount of narcotic administered, blood pressure, and reintubation events on all patients in this study as secondary study points.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
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Ohio
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Columbus, Ohio, United States, 43205
- Nationwide Children's Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Infants gestational age > 37 weeks and greater than or equal to one week of age to 3 months of age
- Infants who are undergoing a surgical procedure on the abdomen
- the parent or guardian has given informed consent.
Exclusion Criteria:
- Gestational age < 37 weeks
- Age less than one week or greater than 3 months of age
- Known renal disease/dysplastic kidneys
- Serum Creatinine > 0.4
- Patients who have rising creatinine levels the day prior to surgery (increase of at least 1.5-fold from baseline)
- Patients who are currently receiving other potentially renal toxic drugs or drugs that may interfere with hemostatic pathways as part of their clinical care (including but not limited to furosemide, hydrochlorothiazide, vancomycin, gentamicin, aspirin, tpa [except for use of thrombosed central venous catheters], enalapril, systemic heparin [except for use in central venous catheter flushes])
- Patients who undergo nephrectomy
- Patients with necrotizing enterocolitis
- Patients with a hemoglobin value < 10g/dL
- Recent (within 3 months) GI bleeding, ulceration, and/or perforation
- Platelet count < 50,000
- Ongoing disseminated intravascular coagulation or history of intraventricular hemorrhage
- Recent (within 2 weeks) use or current use of other nonsteroidal anti-inflammatory drugs (NSAIDS) besides aspirin (ASA)
- Allergy to ASA or other NSAIDS
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Postoperative surgical neonates will receive an equivalent volume of 0.9% normal saline as placebo.
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0.9% normal saline 1ml/kg
Other Names:
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Experimental: Ketorolac
Postoperative ketorolac 0.5mg/kg intravenously every 8 hrs for 72hrs will be administered.
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Ketorolac 0.5mg/kg IV q8h x 72h.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety from bleeding events.
Time Frame: 5 days
|
Primary: The primary purpose of this study is to compare bleeding events in neonates who receive ketorolac and those who do not receive ketorolac.
We hypothesize that ketorolac is safe and effective in infants > 37wks gestation and at least one week of age.
|
5 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical parameters related to pain.
Time Frame: 5 days
|
We intend to evaluate daily creatinine levels, pain scores, urine output per shift, platelet counts, hemoglobin levels, number of days on the ventilator, amount of narcotic administered, blood pressure, and reintubation events on all patients in this study as secondary study points.
|
5 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jennifer H Aldrink, MD, Nationwide Children's Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Pain
- Neurologic Manifestations
- Pain, Postoperative
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Ketorolac
Other Study ID Numbers
- 10-00554
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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