CClinicalTrials.gg
CompletedNCT01807429Updated Mar 8, 2013

Is Analgesic Effect of Low Dose Ketamine-midazolam the Same as Morphine

A Phase 2/3 interventional study of Ketamine-midazolam and Morphine in Closed Multiple Fractures of Upper and Lower Limbs, sponsored by Isfahan University of Medical Sciences. Completed. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-03-08.

Sponsored by Isfahan University of Medical Sciences · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
236
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

the investigators assessed the effects of low-dose IV ketamine-midazolam versus morphine on pain control in trauma patients with closed limb fracture(s); and also compared the incidence of adverse events (mainly cardio pulmonary ) between two groups.

Read the detailed description

this prospective, single blind, noninferiority trial randomized consecutive ED patients aged 18 to 60 years to two groups: receiving either 300-500 mcg ketamine plus 0.03 mg midazolam, or 0.05 to 0.1 mg morphine. Visual analogue score and adverse events were carefully verified during an interval of 30 minutes.

Two hundreds, thirty six patients were selected, among whom were 207 males (87.3%), and 29 females (12.2%). The average age was 29±2, with extremes of 60 years and 18 years.the patients were divided into two groups: G1: 116 patients receiving ketamine-midazolam and G2: 120 patients receiving morphine alone.

02

Conditions studied

  • Closed Multiple Fractures of Upper and Lower Limbs

Browse trials for

Keywords

  • Ketamine,
  • Midazolam,
  • Morphine,
  • visual analogue score
03

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Between 18 and 60 years
  2. Patients with closed limb fracture(s)
  3. VAS score of at least 6

Exclusion criteria

Exclusion Criteria:

  1. Acute pulmonary infection
  2. Previous coronary artery diseases,ACS,congestive heart failure,
  3. suspected aortic dissection
  4. History of uncontrolled hypertention or blood pressure > 140/90mmHg
  5. Brain injury with focal neurological deficit or loss of consciousness
  6. Central nervous system mass lesion,hydrocephalus, or other states with increased intracranial pressure
  7. Glaucoma and acute globe injury
  8. History of porphyria
  9. Previous hyperthyroidism or thyroid hormone replacement
  10. Pregnancy or laction
  11. Major psychiatric disorder
  12. Previous allergic reaction to the agents administered in the study
  13. Patient declined to provide written informed conse
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
236 participants (actual)

Study arms

  • Experimental
    Ketamine-midazolam

    300 to 500 mcg/kg ketamine plus 0.03 mg/kg midazolam

    Drug: Ketamine-midazolam

  • Active comparator
    Morphine

    0.05 to 0.1 mg/kg morphine

    Drug: Morphine

Interventions

  • DrugKetamine-midazolam

    Ketamine 300-500mcg/kg plus midazolam 0.03 mg/kg once.

    Also known as: Ketaral

  • DrugMorphine

    morphine 0.05 mg/kg

    Also known as: Avinza

05

What researchers measure

Primary outcomes

  1. VAPS

    the pain score was verified at the outset and every 10 minutes after administration of analgesics.

    Time frame: 30 minutes

Secondary outcomes

  1. HR,RR,SPO2,BP

    the variables were assessed for an interval of 30 minutes.

    Time frame: 30 minutes

Other outcomes

  1. adverse drug effects

    the patients were closely observed for any drug induced adverse events.

    Time frame: 30 minutes

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT01807429
Lead sponsor
Isfahan University of Medical Sciences
Responsible party
Mehdi Nasr Isfahani (Mehdi Nasr Isfahani, Isfahan University of Medical Sciences) — Principal investigator
First posted
Mar 8, 2013
Start date
Dec 2012
Primary completion
Jan 2013
Completion
Feb 2013
Last update
Mar 8, 2013

Study contacts

Omid Ahmadi, professor
study director · Isfahan University of Medical Sciences

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion