- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01731184
Morphine-Midazolam in Pre-hospital Traumatic Patients With Severe Acute Pain (Morphine-Mida)
Randomized Double-blind Placebo-controlled Trial: Administration of Morphine-Placebo vs. Morphine-Midazolam in Pre-hospital Traumatic Patients With Severe Acute Pain.
Administration of midazolam with morphine in patients with severe acute pain is a routine practice in the management of pre- and post-operative patients but has not been evaluated in pre-hospital setting. The investigators aim to evaluate the co-analgesic effect of midazolam in the pre-hospital management of traumatic patients with severe acute pain.
In a multicenter prospective randomized double-blind placebo-controlled trial, the investigators would like to compare the analgesic effect and safety of the intravenous morphine 0.10 mg/kg and midazolam 0.04 mg/kg with the intravenous morphine 0.10 mg/kg and placebo in pre-hospital traumatic adults. Assessment will be done at the baseline using a validated numeric rating scale (NRS).
The primary outcome will be the proportion of patients with a pain score less than or equal to 3 after 20 minutes. The secondary outcomes will be in between-group comparison of: the treatment safety, pain score every 5 minutes during 30 minutes and the total morphine dose required until obtaining a pain score less than or equal to 3.
Study Overview
Detailed Description
Patient will be included in pre-hospital setting. They must have an acute pain NRS greater than or equal to 6 from a traumatic origin. The participation of the study for each patient will be the time of the pre-hospital setting. The study will stop when the patient arrives at the hospital.
Patient will be randomized after obtaining an informed consent. Then, the nurse will administered intravenous morphine 0.10 mg/kg and midazolam 0.04 mg/kg or intravenous morphine 0.10 mg/kg and placebo.
Only the nurse will be aware of the treatment received by the patient. Every 5 minutes, life constants and pain score will be recorded on the case report form.
Assessment will be done at the baseline using a validated numeric rating scale. The primary outcome will be the proportion of patients with a pain score less than or equal to 3 after 20 minutes. The secondary outcomes will be in between-group comparison of: the treatment safety, pain score every 5 minutes during 30 minutes and the total morphine dose required until obtaining a pain score less than or equal to 3.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Brest, France, 29609
- CHU de Brest
-
Carhaix, France, 29270
- CH de Carhaix
-
Nantes, France, 44000
- CHU de NANTES
-
Quimper, France, 29000
- Centre Hpistalier Intercommunal de Cornouaille
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 to 70 years old
- conscient with spontaneous ventilation
- acute pain with an traumatic origin : pain escape superior or egal to 6/10
- taking care by French reanimation and urgency mobile services (Smur).
Exclusion Criteria:
- younger than 18 years old or older than 70 years old
- chronical respiratory insufficiency
- severe hepatocellular insufficiency,
- myasthenia
- known allergy to morphine or benzodiazepin,
- already treated for a chronical pain,
- pregnant women
- treated by morphine
- patient unable to evaluate his/her pain
- any acute and severe hemodynamic, respiratory or neurologic deficiency
- needed an local analgesia
- patient who received an other antalgic treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Midazolam
Midazolam (Hypnovel) at 0.04 mg /kg with morphine titration (first bolus: 0.1 mg/kg then 3 mg every 5 minutes).
|
Midazolam (Hypnovel) at 0.04 mg /kg with morphine titration (first bolus: 0.1 mg/kg then 3 mg every 5 minutes).
Other Names:
|
Placebo Comparator: Placebo
Placebo at 0.04 mg /kg with morphine titration (first bolus: 0.1 mg/kg then 3 mg every 5 minutes).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain score
Time Frame: 20 minutes
|
The primary outcome was the proportion of patients with a pain score less than or equal to 3 after 20 minutes
|
20 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pain evolution
Time Frame: every 5 minutes and at the end of the study
|
The secondary outcomes were in between-group comparison of: - pain score every 5 minutes during 30 minutes |
every 5 minutes and at the end of the study
|
Safety
Time Frame: during all the study
|
The secondary outcomes were in between-group comparison of: - The treatment safety |
during all the study
|
Morphine total dose
Time Frame: During all the study
|
The secondary outcomes were in between-group comparison of: - The total morphine dose required until obtaining pain score less than or equal to 3 |
During all the study
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Yannick AUFFRET, Dr, Centre Hospitalier Intercommunal de Cornouaille
Publications and helpful links
Study record dates
Study Major Dates
Study Start
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
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Acute Pain
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Tranquilizing Agents
- Psychotropic Drugs
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Midazolam
Other Study ID Numbers
- Morphine Midazolam
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.
Clinical Trials on Acute Traumatic Pain
-
Tel-Aviv Sourasky Medical CenterMedical Corps, Israel Defense ForceUnknown
-
Jason McMullanEnrolling by invitationAcute Traumatic PainUnited States
-
Defense and Veterans Center for Integrative Pain...CompletedAnalgesia | Pain, Acute | Post Traumatic Stress Disorder | Amputation, Traumatic | Trauma, BrainUnited States
-
Mundipharma Pharmaceuticals srlBioikos Ambiente SrlCompleted
-
Centura HealthWithdrawnPain, Acute | Traumatic InjuryUnited States
-
University of PittsburghPalo Alto Veterans Institute for ResearchCompletedChronic Pain | Posttraumatic Stress Disorder | Acute Pain Due to TraumaUnited States
-
University of Maryland, BaltimoreNational Center for Advancing Translational Sciences (NCATS); University of...CompletedTrauma | Traumatic Brain Injury | Pain, Acute | Headaches PosttraumaticUnited States
-
Hospital Authority, Hong KongCompletedAcute Traumatic PainHong Kong
-
Astellas Pharma IncCompletedPatients With Traumatic Pain, Post-surgical Pain and Tooth Extract PainJapan
-
University of ArkansasNot yet recruitingPain | Anxiety | Acute Stress DisorderUnited States
Clinical Trials on Midazolam
-
PfizerCompleted
-
Seattle Children's HospitalCompleted
-
Jiangsu HengRui Medicine Co., Ltd.CompletedGout and HyperuricemiaChina
-
Nourhan M.AlyAlexandria UniversityCompleted
-
Second Affiliated Hospital of Wenzhou Medical UniversityRecruiting
-
University Hospital, Basel, SwitzerlandCompletedCytochrome P450 CYP3A Enzyme DeficiencySwitzerland
-
Korea University Anam HospitalCompletedChild | Anesthesia Morbidity | Delirium on EmergenceKorea, Republic of
-
Hamad Medical CorporationCompleted
-
Ain Shams UniversityCompleted
-
Nourhan M.AlyCompleted