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CompletedNCT02156596NSAIvsNMUpdated Feb 11, 2020

IV NSAI Versus Nebulized Morphine Analgesia for First-line Renal Colic

A Phase 1 interventional study of IV NSAI and NM in Renal Colic, sponsored by University of Monastir. Completed at 1 site in Tunisia. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2020-02-11.

Sponsored by University of Monastir · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
16 Years and older
Sex
All
01

Study summary

The aim of the investigators study was to evaluate the feasibility, efficacy and safety of nebulized morphine compared with non-steroidal anti-inflammatory (NSAI)intravenously in the management of renal colic.

Determine the need for systematic outpatient prescription of NSAI.

Read the detailed description

Renal colic are a frequent cause of consultation in the emergency departement (ED).

They count for approximatively 20% of patients presenting to the ED with severe acute onset abdominal pain.

For acute treatment of renal colics (RC), guidelines recommend the use of intravenous (IV) non-steroidal anti-inflammatory (NSAI) drugs in association with antalgics like Paracetamol or Morphine.

But the NSAID present many inconvenient and cannot be used in some type of patients; that's why the investigators investigated the use of other drugs, such as nebulised morphine, in the ED treatment of renal colics.

the NM has the adequacy of being quickest, more practical to use and more tolerated than the IV NSAID.

In this study, the investigators aim to assess the feasibility, efficacity and safety of nebulised morphine compared to intravenous NSAID in the treatment of RC.

02

Conditions studied

  • Renal Colic

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Keywords

  • renal colic
  • nebulised morphine
  • Intravenous NSAID
03

In context

Colic

148 studies on the registry are indexed under Colic; 21 are open to participants now.

This study's enrollment of 100 is above the median of 88 across 122 interventional studies indexed under Colic.

Browse Colic studies →

Lead sponsor

University of Monastir is the lead sponsor of 112 studies on the registry; 30 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Over 16 years old
  • Consenting to participate in the study
  • Diagnosis of renal colic matching flank pain / lumbar fossa sided with dipstick and / or imaging confirmed the diagnosis
  • VAS> 50% at consultation

Exclusion criteria

Exclusion Criteria:

  • Inability to assess pain VAS;
  • Pregnant or lactating woman;
  • Recognized renal disease (glomerular filtration rate \<60ml/kg/1.73m2);
  • Known hepatic insufficiency;
  • Known or suspected allergy to NSAIDs, morphine
  • Peptic ulcer known;
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
100 participants (actual)

Study arms

  • Active comparator
    Intravenous NSAI

    patients received 100 mg of ketoprofen (NSAID) by IV root and in parallel 3 nebulisation of serum saline (SS) over 30 minutes.

    Drug: IV NSAI · Drug: Nebulised Serum Saline

  • Experimental
    Nebulised Morphine

    patients received 3 nebulisation of morphine (5 mg each) and in parallel 50 ml of SS by IV root over 30 minutes.

    Drug: NM · Drug: IV Serum Saline

Interventions

  • DrugIV NSAI

    100 mg of ketoprofen in 50 ml volume given in 30 minutes by IV root

    Also known as: ketoprofen IV

  • DrugNM

    3 nebulisations of 5 mg morphine chlorhydrate each given over 30 minutes (10 minutes per nebulisation)

    Also known as: morphine

  • DrugIV Serum Saline

    50 ml of SS is given by IV root over 30 minutes

    Also known as: serum saline

  • DrugNebulised Serum Saline

    3 nebulisations of 5ml SS each are given over 30 minutes

    Also known as: serum saline

06

What researchers measure

Primary outcomes

  1. efficacity: VAS pain reduction

    The effectiveness of treatment is defined by a decrease in the intensity of pain corresponding to a decrease of the VAS above 50% at 60 minutes compared to baseline.

    Time frame: 5, 15, 30, 45 and 60 minutes

Secondary outcomes

  1. feasibility of the study: number of patients accepting the adhesion to protocol

    the feasibility is assessed by comparing the number of patients accepting the protocol to the total number of patients consulting for RC; and the number of patients that actually completed the protocol course (if above 50%, the protocol is considered feasable).

    Time frame: at base line and at 60 minutes

  2. safety: side effects of treatment

    the safety of treatment is evaluated by the occurence of side effects at any time of the protocol. only major side effects (repeated vomiting, untolerated dizziness, conscience troubles, dyspnea and allergic reaction) are admitted to stop the protocol.

    Time frame: 5, 15, 30, 45 and 60 minutes

07

Study locations

1 site
  • Hospital of Fattouma Bourguiba
    Monastir, 5000, Tunisia
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02156596
Lead sponsor
University of Monastir
Responsible party
Pr. Semir Nouira (Clinical Professor, University of Monastir) — Principal investigator
First posted
Jun 5, 2014
Start date
Feb 2013
Primary completion
Dec 2017
Completion
Feb 2018
Last update
Feb 11, 2020

Study contacts

Nouira Semir, Professor
principal investigator · University of Monastir

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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