ClinicalTrials.gg
CompletedNCT02140970Updated Apr 26, 2021Results posted

Randomized Trial of NSAID vs Placebo Prior to Ureteral Stent Removal

An interventional study of Ibuprofen and Placebo in Disorder of Urinary Stent, Ureteral Spasm and Ureteropelvic Junction Obstruction, sponsored by University of Colorado, Denver. Completed at 1 site in United States. Open to participants aged 4 Years to 17 Years. Per ClinicalTrials.gov, last updated 2021-04-26.

Sponsored by University of Colorado, Denver · Not applicable, Interventional, and Prevention

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Phase
Not applicable
Study type
Interventional
Enrollment
51
Allocation
Randomized
Ages
4 Years to 17 Years
Sex
All
01

Study summary

This study plans to learn more about whether ibuprofen can reduce pain after removal of a ureteral stent more than a placebo. Some patients experience pain after removal of a ureteral stent. The investigators plan to learn how often this occurs and whether it can be prevented.

The investigators hypothesize that children who have a temporary, indwelling ureteral stent will experience a significantly less post-operative pain if given a non-steroidal anti-inflammatory (NSAID) prior to removal of the ureteral stent when compared to placebo. The investigators hypothesize that the incidence of severe post-stent removal pain is similar to an adult population.

02

Conditions studied

  • Disorder of Urinary Stent
  • Ureteral Spasm
  • Ureteropelvic Junction Obstruction
  • Urolithiasis

Keywords

  • ureteral stent
  • stent pain
  • ureteral spasm
  • NSAID
  • ibuprofen
  • placebo
  • ureteropelvic junction obstruction
  • urolithiasis
03

In context

Multicystic renal dysplasia, bilateral

26 studies on the registry are indexed under Multicystic renal dysplasia, bilateral; 9 are open to participants now.

This study's enrollment of 51 is above the median of 40 across 20 interventional studies indexed under Multicystic renal dysplasia, bilateral.

Browse Multicystic renal dysplasia, bilateral studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,543 studies on the registry; 317 are open to participants now.

Of its 147 completed or terminated interventional studies of FDA-regulated products, 92 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ages 4-17
  • unilateral ureteral stent placed after ureteropelvic junction obstruction repair or treatment of upper tract urolithiasis

Exclusion criteria

Exclusion Criteria:

  • bilateral stents
  • undergoing other concomitant procedure at time of planned ureteral stent removal
  • indication for stent other than ureteropelvic junction obstruction repair or treatment of upper tract urolithiasis
  • pregnant
  • developmental delay
  • allergy to ibuprofen or non-steroidal anti-inflammatory medication class
  • chronic kidney disease
  • prior renal transplant
  • history of nasal polyps
  • history of asthma
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
51 participants (actual)

Study arms

  • Experimental
    Liquid ibuprofen

    10 mg/kg orally up to a maximum of 400 mg given once at least 15 minutes prior to ureteral stent removal

    Drug: Ibuprofen

  • Placebo comparator
    Liquid placebo

    Similar-tasting and appearing liquid placebo of equal volume to be given once orally at least 15 minutes prior to ureteral stent removal

    Drug: Placebo

Interventions

  • 10 mg/kg orally up to a maximum of 400 mg given once at least 15 minutes prior to ureteral stent removal

  • DrugPlacebo

    Similar-tasting and appearing liquid placebo of equal volume to be given once orally at least 15 minutes prior to ureteral stent removal

06

What researchers measure

Primary outcomes

  1. Incidence of Post-operative Severe Pain (Pain Score ≥ 7)

    Two pain scales were used (Faces pain scale-revised \[FPS-R\] and visual analogue scale \[VAS\]) and converted to continuous value 0-10.

    Time frame: 24 hours after stent removal

Secondary outcomes

  1. Incidence of "Significantly Worsening" Pain

    Incidence of "significantly worsening" pain is defined as any increase ≥ 2 between the pre-operative and post-operative pain scale assessments

    Time frame: 24 hours after stent removal

  2. Change in Pre- and Post-operative Pain Score

    Pain will be assessed via a 10 point \[NAME OF SCALE\] scale. Possible scores range from 0 to 10, with higher scores indicating more severe pain and a worse outcome.

    Time frame: 24 hours after stent removal

  3. Opioid Usage Post-operatively

    This will be recorded in equivalents to milligrams intravenous morphine

    Time frame: 24 hours after stent removal

07

Results

Posted Apr 26, 2021

Participant flow

Participant flow — Overall Study
MilestoneLiquid IbuprofenLiquid Placebo
Started2425
Received intervention2325
Analyzed2222
Completed2222
Not completed23
Withdrew: Lost to follow-up12
Withdrew: Misplaced consent, subject withdrawn10
Withdrew: Did not meet inclusion criteria01

Outcome measures

PrimaryIncidence of Post-operative Severe Pain (Pain Score ≥ 7)

Two pain scales were used (Faces pain scale-revised \[FPS-R\] and visual analogue scale \[VAS\]) and converted to continuous value 0-10.

Time frame:
24 hours after stent removal
Reported as:
Count of participants · Participants
Incidence of Post-operative Severe Pain (Pain Score ≥ 7)
ParticipantsLiquid IbuprofenLiquid Placebo
Incidence of Post-operative Severe Pain (Pain Score ≥ 7)21
SecondaryIncidence of "Significantly Worsening" Pain

Incidence of "significantly worsening" pain is defined as any increase ≥ 2 between the pre-operative and post-operative pain scale assessments

Time frame:
24 hours after stent removal
Reported as:
Count of participants · Participants
Incidence of "Significantly Worsening" Pain
ParticipantsLiquid IbuprofenLiquid Placebo
Incidence of "Significantly Worsening" Pain35
SecondaryChange in Pre- and Post-operative Pain Score

Pain will be assessed via a 10 point \[NAME OF SCALE\] scale. Possible scores range from 0 to 10, with higher scores indicating more severe pain and a worse outcome.

Time frame:
24 hours after stent removal
Reported as:
Mean · score on a scale
Change in Pre- and Post-operative Pain Score
score on a scaleLiquid IbuprofenLiquid Placebo
Change in Pre- and Post-operative Pain Score0.4 (-3.9 to 8)0.2 (-4.0 to 4.3)
SecondaryOpioid Usage Post-operatively

This will be recorded in equivalents to milligrams intravenous morphine

Time frame:
24 hours after stent removal
Reported as:
Mean · mg/kg
Opioid Usage Post-operatively
mg/kgLiquid IbuprofenLiquid Placebo
Opioid Usage Post-operatively0.0 (0.0 to 0.0)0.0 (0.0 to 0.0)

Adverse events

Collected over Adverse event data were collected 30 days after exposure to the intervention.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Liquid Ibuprofen0/22 (0%)0/22 (0%)0/22 (0%)
Liquid Placebo0/22 (0%)0/22 (0%)0/22 (0%)

Baseline characteristics

Only participants who were analyzed are included.

Age, Categorical
Age, Categorical(Participants)Liquid IbuprofenLiquid PlaceboTotal
<=18 years222244
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(years)Liquid IbuprofenLiquid PlaceboTotal
Mean10.5 (4.2 to 17.3)12.2 (4.7 to 18.0)11.4 (4.2 to 18.0)
Sex: Female, Male
Sex: Female, Male(Participants)Liquid IbuprofenLiquid PlaceboTotal
Female101121
Male121123
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Liquid IbuprofenLiquid PlaceboTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American011
White212142
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Liquid IbuprofenLiquid PlaceboTotal
United States222244
08

Study locations

1 site
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
09

References and documents

Publications

  • Tadros NN, Bland L, Legg E, Olyaei A, Conlin MJ. A single dose of a non-steroidal anti-inflammatory drug (NSAID) prevents severe pain after ureteric stent removal: a prospective, randomised, double-blind, placebo-controlled trial. BJU Int. 2013 Jan;111(1):101-5. doi: 10.1111/j.1464-410X.2012.11214.x. Epub 2012 May 11. PubMed 22578110 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2014, a primary completion of Jan 2020 and a completion of Jan 2020. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2021, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
May 14, 2014
First posted
May 16, 2014
Start
May 2014
Primary completionActual
Jan 11, 2020
CompletionActual
Jan 11, 2020
Results first posted
Apr 26, 2021
Last update
Apr 26, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02140970
Collaborators
Children's Hospital Colorado
Responsible party
Sponsor
First posted
May 16, 2014
Start date
May 2014
Primary completion
Jan 11, 2020
Completion
Jan 11, 2020
Results posted
Apr 26, 2021
Last update
Apr 26, 2021

Study contacts

Jeffrey Campbell, MD
principal investigator · Children's Hospital Colorado

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ibuprofen

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