- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05190341
Ibuprofen Versus Ketorolac for Pain Relief During Hysterosalpingogram
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Describe step-by-step how the study will be conducted from beginning to end
- After IRB approval, the research pharmacist will provide motrin and ketorolac in identical packets labeled 1-88, after receiving the randomization strategy/number set from the research monitor.
- REI physician on the protocol will screen patient for inclusion/exclusion from study at new patient consult or at future follow up visit when need for HSG is decided.
- If patient pt screens eligible, discuss study. If elects participation then consent patient and randomize to group.
At time of scheduling HSG, patient will need to remind nursing that they are in HSG study. Nursing should also have the list of patients to reference when scheduling HSGs. Patients in the study will need to check in at the REI clinic 70 minutes prior to HSG in order to take their meds 60 minutes prior to scheduled procedure time. At same visit, REI RN will perform urine pregnancy test as previously scheduled.
a. meds will be kept in a locked cabinet in the REI research office in opaque sealed envelopes.
- Patient will then go check into Radiology for their HSG.
- HSG will be performed per standard clinical protocol. The HSG will be performed by REI physicians and OB/GYN residents (who are rotating on REI), which are the current standard of practice.
A nurse or provider associated with the study will need to be at the HSG for the sole purpose of study assistance. The provider performing the HSG, the study personnel recording pain levels, and the fluro tech will not be aware of the type of pre-procedural medication the patient received. The nurse or provider of study personnel will do the following:
- time the procedure from placement of speculum through deflation of catheter balloon and removal of catheter. Record time in seconds (can write mins:seconds and then convert later).
- record who performed the procedure, if a tenaculum had to be used, and if an attending had to take over the procedure
- help patient record pain scale marks on the VAS sheet at the designated time periods.
7. For clarity- there will be at least three providers at each HSG for study enrolled patients.
- A provider who does the HSG
- A fluoro technician to capture fluoro images for teh HSG
- A study affialitied person to record pain scores for patient as above 8. At the conclusion of study recruitment, the blinded researchers will gain access to the subject ID's cohort status (ibuprofen vs ketorolac), and study analysis will be undertaken.
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Bruce Pier, MD
- Phone Number: 253-968-3276
- Email: bruce.d.pier3.mil@mail.mil
Study Locations
-
-
Washington
-
Tacoma, Washington, United States, 98431
- Madigan Army Medical Center
-
Contact:
- Bruce Pier, MD
- Phone Number: 253-968-3276
- Email: bruce.d.pier3.mil@mail.mil
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- English speaking
- premenopausal females age 18-45
- patients currently undergoing HSG as part of routine work-up for infertility or subfertility, - - patients with negative urine pregnancy test within 24 hours of the scheduled procedure
- patients having performance of HCG between menstrual cycle days 5-12n
Exclusion Criteria:
- Non-English speaking
- patients with history of previous HSG performed
- patients with contrast allergy or other contraindications to HSG
- patients with contraindications to NSAID use
- Patients with the following:
- unwilling to consent
- positive urine pregnancy test within 24 hours of the scheduled procedure
- active renal or hepatic disease
- chronic narcotic users
- use of pain medications within 12 hours of the scheduled procedure
- patients with chronic pain conditions (fibromyalgia, complex regional pain syndrome, etc.)
- patients with unknown uterine anatomical pathology
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Ibuprofen
Patients randomized to this arm will receive an identical capsule to the other patient arm, and receive 800mg ibuprofen 1 hour before HSG.
|
1 hour before HSG
Other Names:
|
EXPERIMENTAL: Ketorolac
Patients randomized to this arm will receive an identical capsule to the other patient arm, and receive 30mg ketorolac 1 hour before HSG.
|
1 hour before HSG
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain during contrast infiltration
Time Frame: Between 0 seconds and 5 minutes
|
Pain on Visual Analogue Scale (0-100)
|
Between 0 seconds and 5 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain at baseline (before procedure start)
Time Frame: Between 0 seconds and 5 minutes
|
Pain on Visual Analogue Scale (0-100)
|
Between 0 seconds and 5 minutes
|
Pain with HSG catheter placement
Time Frame: Between 0 seconds and 5 minutes
|
Pain on Visual Analogue Scale (0-100)
|
Between 0 seconds and 5 minutes
|
Pain at completion of HSG
Time Frame: Between 0 seconds and 5 minutes
|
Pain on Visual Analogue Scale (0-100)
|
Between 0 seconds and 5 minutes
|
Pain 5 minutes following HSG
Time Frame: 5 minutes after procedure
|
Pain on Visual Analogue Scale (0-100)
|
5 minutes after procedure
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Bruce Pier, Madigan Chief of REI, Department of OBGYN
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
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
- Infertility
- Infertility, Female
- 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
- Ibuprofen
Other Study ID Numbers
- 221063
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
product manufactured in and exported from the U.S.
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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