- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04148495
Intravenous Acetaminophen and Morphine Versus Intravenous Morphine Alone for Acute Pain in the Emergency Department (ADAMOPA)
Intravenous Acetaminophen and Morphine Versus Intravenous Morphine Alone for Acute Pain in the Emergency Department: a Multicenter Randomized Controlled Double-blind Non-inferiority Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Céline LONGO, Doctor
- Phone Number: +33 2 53 48 20 44
- Email: celine.longo@chu-nantes.fr
Study Contact Backup
- Name: Emmanuel MONTASSIER, Pr
- Phone Number: +33 2 53 48 20 38
- Email: Emmanuel.MONTASSIER@chu-nantes.fr
Study Locations
-
-
-
Angers, France, 49100
- Recruiting
- Angers University Hospital
-
Contact:
- Marion LE POTTIER, Doctor
- Phone Number: (+33) 2 41 35 36 37
- Email: marion.lePottier@chu-angers.fr
-
Principal Investigator:
- Marion LE POTTIER, Doctor
-
Bordeaux, France, 33000
- Recruiting
- Bordeaux university hospital
-
Contact:
- Michel GALINSKI
- Phone Number: (+33) 5 56 79 48 26
- Email: michel.galinski@chu-bordeaux.fr
-
Principal Investigator:
- Michel GALINSKI
-
Châteaubriant, France, 44146
- Recruiting
- Châteaubriant Hospital
-
Contact:
- Nicolas HOURDIN, Doctor
- Phone Number: (+33) 2 40 55 88 88
- Email: nicolas.hourdin@ch-cnp.fr
-
Principal Investigator:
- Nicolas HOURDIN, Doctor
-
Grenoble, France, 38700
- Recruiting
- Grenoble University Hospital
-
Contact:
- Damien VIGLINO
- Phone Number: (+33) 4 76 76 67 84
- Email: dviglino@chu-grenoble.fr
-
Principal Investigator:
- Damien Viglino
-
La Roche-sur-Yon, France, 85925
- Recruiting
- La Roche-sur-Yon Hospital
-
Contact:
- Valérie DEBIERRE, Doctor
- Phone Number: (+33) 2 51 44 62 05
- Email: valerie.debierre@chd-vendee.fr
-
Principal Investigator:
- Valérie DEBIERRE
-
Nancy, France, 54035
- Not yet recruiting
- Nancy University Hospital
-
Contact:
- Tahar CHOUIEB, Doctor
- Phone Number: (+33) 3 83 85 98 46
- Email: t.chouihed@chru-nancy.fr
-
Principal Investigator:
- Tahar CHOUIEB, Doctor
-
Nantes, France, 44093
- Recruiting
- Nantes university hospital
-
Contact:
- Emmanuel MONTASSIER, Pr
- Phone Number: +33 2 53 48 20 38
- Email: Emmanuel.MONTASSIER@chu-nantes.fr
-
Contact:
- Céline LONGO, Dr
- Phone Number: +33 2 53 48 20 44
- Email: celine.longo@chu-nantes.fr
-
Paris, France, 75010
- Recruiting
- Lariboisière University Hospital - APHP
-
Principal Investigator:
- Anthony Chauvin
-
Contact:
- Anthony Chauvin
- Phone Number: +33 (0)6 79 10 73 51
- Email: anthony.chauvin@aphp.fr
-
Paris, France, 75013
- Recruiting
- La Pitie-Salpetriere University Hospital
-
Contact:
- Yonathan FREUND, Doctor
- Phone Number: (+33) 1 42 16 00 00
- Email: Yonathanfreund@gmail.com
-
Principal Investigator:
- Yonathan FREUND, Doctor
-
Saint Nazaire, France, 44
- Not yet recruiting
- CH Saint Nazaire
-
Contact:
- Julien SEGARD
- Phone Number: +33 272278000
- Email: j.segard@ch-saintnazaire.fr
-
Principal Investigator:
- Julien SEGARD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 Years and older
- Moderate to severe acute pain, defined as a numeric rating scale score greater than or equal to 5.
- Conscious patient
- Clinical stability at the physician's discretion
- Patient able to talk and give a verbal assessment of his/her pain with the numerical verbal scale
- Out of guardianship and/or tutorship
- Affiliated to the social security plan.
Exclusion Criteria:
- Pregnancy and Breast-feeding
- Patient Unable to give numeric rating scale scores
- Patient with a weight strictly less than 50kg.
- acute pulmonary edema, acute respiratory failure
- Acute coronary syndrome or unbalanced ischemic heart disease in progress.
- Acute alcoholic intoxication.
- Patient who received morphine, or acetaminophen, or analgesic, or anti-inflammatory, for the current acute pain episode, within 8 hours prior to arrival at the emergencies
- No possibility of having venous access
- History of chronic pain during treatment.
- Allergy, intolerance or know contraindication to paracetamol or morphine or to an excipient.
- Renal or hepatic insufficiency.
- Association with buprenorphine, nalbuphine and pentazocine.
- Patient unable or unable to give written consent.
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: Treatment group
Morphine IV and the placebo of acetaminophen IV.
|
Mophine IV: Initial loading dose of 0.1 mg/kg (ensuring that the maximum dose of 10 mg is not exceeded) followed by bolus of 0.05 mg/kg every 10 minutes (taking care not to exceed the maximum dose of 5 mg) as reported by the recommandation of experts of the french society of urgency care. Placebo of acetaminophen IV: Sodium chloride 0.9% |
Active Comparator: Control group
Morphine IV and acetaminophen IV
|
Mophine IV: Initial loading dose of 0.1 mg/kg (ensuring that the maximum dose of 10 mg is not exceeded) followed by bolus of 0.05 mg/kg every 10 minutes ((taking care not to exceed the maximum dose of 5 mg) as reported by the recommandation of experts of the french society of urgency care. Acetaminophen IV: 1 g |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of numeric rating scale pain scores between those who received morphine alone and who received combination of acetaminophen and morphine at 30 minutes.
Time Frame: 30 minutes
|
The Numerical Pain Rating Scale measures the perception of pain intensity with an eleven-point numerical scale.
The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
|
30 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of numeric rating scale pain scores between those who received morphine alone and who received the combination of acetaminophen and morphine at 10min, 20 min, 45 min and 60min.
Time Frame: 60 minutes
|
The Numerical Pain Rating Scale measures the perception of pain intensity with an eleven-point numerical scale.
The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
|
60 minutes
|
Estimated cumulative dose of morphine in both arms at a dose -by-weight (mg/kg) dose during the first 30 minutes
Time Frame: 30 minutes
|
30 minutes
|
|
Frequency and intensity of adverse reactions: nausea, vomiting, respiratory failure, hypotension
Time Frame: through study completion, an average of 60 minutes
|
through study completion, an average of 60 minutes
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Céline LONGO, Doctor, Nantes university hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- RC19_0116
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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