ClinicalTrials.gg
CompletedNCT03404518Updated Mar 16, 2022Results posted

Patient Narcotic Requirements After Outpatient Otolaryngology Procedures

A Phase 3 interventional study of Norco and Ibuprofen in Outpatient Surgery and Pain, Postoperative, sponsored by Loma Linda University. Completed at 2 sites in United States. Open to participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-03-16.

Sponsored by Loma Linda University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
185
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Pain, Postoperative by Loma Linda University — 2 open to participants now, 2 under way, none of them phase 3. Pain, Postoperative · Loma Linda University.

Started
2018
the only one that year
Phase 3
Only one
of the 10
Registered
7th of 10
by date

Among the 10 studies in Pain, Postoperative by Loma Linda University, this one is the only one that started in 2018, is the only one in phase 3, and was the 7th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

No phase6 · 1 open
Observational1 · 0 open
Phase 1/21 · 0 open
Phase 3this study1 · 0 open
Phase 41 · 1 open

By the year they started

First in 2008; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 24 across the 9 interventional studies, 160 across the 1 observational. Of the 5 that completed or were terminated, 3 (60%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 10 studies in Pain, Postoperative by Loma Linda University, or all of them as a file.
02

Study summary

Patient's pain level and narcotic requirements will be evaluated after routine outpatient Otolaryngology procedures. This will be done by having study participants record their pain level and medication usage from home.

Read the detailed description

It is routine practice to give narcotic medication after surgery for pain control however the abuse of prescription medications has become the fastest growing drug problem in the United States. Research has shown that post operative pain for some common Ear, Nose, and Throat (ENT) procedures are not severe but there is limited data looking at patient narcotic needs and their usage pattern to help inform physicians on how much to prescribe.

The objective of this study is to evaluate patient pain level in the immediate post-operative period and quantify pain medication usage in patients who undergo outpatient ENT surgeries.

Patients who undergo the following procedures will be invited to participate: thyroidectomy, parathyroidectomy, parotidectomy, tympanoplasty, mastoidectomy, endoscopic sinus surgery, and septoplasty. All patients will receive Hydrocodone/acetaminophen and Ibuprofen in standard dosage and assigned to one of two groups before surgery. Group 1 will use the narcotic medication for pain control and ibuprofen for breakthrough pain. Group 2 will use ibuprofen for pain control and the narcotic medication for breakthrough. Patients will fill out a data sheet for 7 days recording their pain level three times per day as well as pain medication usage for each day. This will be collected on their first clinic visit after surgery at which point the patient's involvement is completed.

03

Conditions studied

  • Outpatient Surgery
  • Pain, Postoperative

Browse trials for

Keywords

  • Thyroidectomy
  • Parotidectomy
  • Tympanoplasty
  • Mastoidectomy
  • Septoplasty
  • Sinus Surgery
  • Postoperative pain
  • Outpatient surgery
04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Patients undergoing one of the following outpatient procedure:

  • Septoplasty
  • Unilateral or Bilateral Functional endoscopic sinus surgery
  • Tympanomastoidectomy
  • Tympanoplasty
  • Total or Partial Thyroidectomy
  • Parathyroidectomy
  • Parotidectomy.
  • Age >18 years and \< 89 years

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years or > 89 years
  • Post operative hospital admission
  • Allergy to Hydrocodone
  • Allergy or to Ibuprofen or NSAIDs
  • Pregnancy
  • Hepatic disease
  • Chronic kidney disease
  • Sickle cell anemia
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
185 participants (actual)

Study arms

  • Experimental
    Norco and Ibuprofen

    This group will take Hydrocodone/acetaminophen 5mg/325mg every 6 hours as needed for pain control as first line intervention. If pain is not controlled after 60 minutes then can take Ibuprofen 600mg every 6 hours as needed for additional pain control.

    Drug: Norco

  • Active comparator
    Ibuprofen and Norco

    This group will take Ibuprofen 600mg every 6 hours as needed for pain control as first line intervention. If pain is not controlled after 60 minutes then can take Hydrocodone/acetaminophen 5mg/325mg every 6 hours as needed for additional pain control.

    Drug: Ibuprofen

Interventions

  • DrugNorco

    Drug pages: Hydrocodone · Acetaminophen

    Hydrocodone/Acetaminophen as first line therapy every 6 hours as needed for pain control

    Also known as: Hydrocodone/Acetaminophen, Narcotic

  • Ibuprofen as first line therapy every 6 hours as needed for pain control

    Also known as: NSAID, Motrin, Advil

06

What researchers measure

Primary outcomes

  1. Narcotic Usage

    The average number of narcotic pills needed or used for pain control

    Time frame: First 7 days after surgery

Secondary outcomes

  1. Patient Pain Level

    The average reported pain score using the Numeric Rating Scale (0-10) with 0 representing no pain and 10 as worse imaginable pain.

    Time frame: Average reported pain for first 7 days after surgery

  2. Ibuprofen Usage

    The average number of ibuprofen pills needed or used for pain control

    Time frame: First 7 days after surgery

07

Results

Posted Mar 16, 2022
Limitations and caveats
Some patients chose to not follow study instructions strictly and utilized ibuprofen therapy as primary analgesic treatment instead of their opioid medication.

Participant flow

Participant flow — Overall Study
MilestoneNorco and IbuprofenIbuprofen and Norco
Started9788
Completed5652
Not completed4136
Withdrew: Lost to follow-up2830
Withdrew: Protocol violation136

Outcome measures

PrimaryNarcotic Usage

The average number of narcotic pills needed or used for pain control

Time frame:
First 7 days after surgery
Reported as:
Mean · Pills
Narcotic Usage
PillsNorco and IbuprofenIbuprofen and Norco
Narcotic Usage4.9 (3.6 to 6.3)2.0 (0.9 to 3.1)
SecondaryPatient Pain Level

The average reported pain score using the Numeric Rating Scale (0-10) with 0 representing no pain and 10 as worse imaginable pain.

Time frame:
Average reported pain for first 7 days after surgery
Reported as:
Mean · Scores on a scale
Patient Pain Level
Scores on a scaleNorco and IbuprofenIbuprofen and Norco
Patient Pain Level3.5 (2.8 to 4.1)2.8 (2.2 to 3.4)
SecondaryIbuprofen Usage

The average number of ibuprofen pills needed or used for pain control

Time frame:
First 7 days after surgery
Reported as:
Mean · pills
Ibuprofen Usage
pillsNorco and IbuprofenIbuprofen and Norco
Ibuprofen Usage4.5 (3.2 to 5.7)7.7 (5.8 to 9.6)

Adverse events

Collected over Days 1-7 following surgery or until the first follow up appointment with provider up to 14 days following surgery. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Norco and Ibuprofen0/97 (0%)0/97 (0%)4/97 (4.1%)
Ibuprofen and Norco0/88 (0%)0/88 (0%)3/88 (3.4%)
Most frequent other events
Most frequent other events
EventNorco and IbuprofenIbuprofen and Norco
Uncontrolled painSurgical and medical procedures1/972/88
Drainage from surgical siteSurgical and medical procedures1/971/88
HeadacheNervous system disorders1/970/88
NauseaGastrointestinal disorders1/970/88

Baseline characteristics

Patients who completed and returned pain data entry

Age, Continuous
Age, Continuous(years)Norco and IbuprofenIbuprofen and NorcoTotal
Mean53 ± 1752.9 ± 1753 ± 17
Sex: Female, Male
Sex: Female, Male(Participants)Norco and IbuprofenIbuprofen and NorcoTotal
Female372663
Male192645
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Norco and IbuprofenIbuprofen and NorcoTotal
Count of participants——0
Prior Narcotic use
Prior Narcotic use(Participants)Norco and IbuprofenIbuprofen and NorcoTotal
Count of participants437
Chronic Pain
Chronic Pain(Participants)Norco and IbuprofenIbuprofen and NorcoTotal
Count of participants151126
Surgery Length
Surgery Length(minutes)Norco and IbuprofenIbuprofen and NorcoTotal
Mean94.4 ± 4395.3 ± 4394.8 ± 42.7
Revision Surgery
Revision Surgery(Participants)Norco and IbuprofenIbuprofen and NorcoTotal
Count of participants191635
08

Study locations

2 sites
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Loma Linda University Surgical Hospital
    Loma Linda, California 92354, United States
09

References and documents

Publications

  • Sommer M, Geurts JW, Stessel B, Kessels AG, Peters ML, Patijn J, van Kleef M, Kremer B, Marcus MA. Prevalence and predictors of postoperative pain after ear, nose, and throat surgery. Arch Otolaryngol Head Neck Surg. 2009 Feb;135(2):124-30. doi: 10.1001/archoto.2009.3. PubMed 19221238 ↗
  • Foghsgaard S, Foghsgaard J, Homoe P. Early post-operative morbidity after superficial parotidectomy: a prospective study concerning pain and resumption of normal activity. Clin Otolaryngol. 2007 Feb;32(1):54-7. doi: 10.1111/j.1365-2273.2007.01315.x. PubMed 17298314 ↗
  • Song CM, Ji YB, Bang HS, Kim KR, Kim H, Tae K. Postoperative Pain After Robotic Thyroidectomy by a Gasless Unilateral Axillo-Breast or Axillary Approach. Surg Laparosc Endosc Percutan Tech. 2015 Dec;25(6):478-82. doi: 10.1097/SLE.0000000000000204. PubMed 26422088 ↗
  • van Dijk JF, Kappen TH, Schuurmans MJ, van Wijck AJ. The Relation Between Patients' NRS Pain Scores and Their Desire for Additional Opioids after Surgery. Pain Pract. 2015 Sep;15(7):604-9. doi: 10.1111/papr.12217. Epub 2014 Apr 16. PubMed 24735082 ↗
  • van Dijk JF, van Wijck AJ, Kappen TH, Peelen LM, Kalkman CJ, Schuurmans MJ. Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: a cross-sectional study. Int J Nurs Stud. 2012 Jan;49(1):65-71. doi: 10.1016/j.ijnurstu.2011.07.009. Epub 2011 Aug 15. PubMed 21840522 ↗
  • Gerbershagen HJ, Rothaug J, Kalkman CJ, Meissner W. Determination of moderate-to-severe postoperative pain on the numeric rating scale: a cut-off point analysis applying four different methods. Br J Anaesth. 2011 Oct;107(4):619-26. doi: 10.1093/bja/aer195. Epub 2011 Jun 30. PubMed 21724620 ↗
  • Ossiander EM. Using textual cause-of-death data to study drug poisoning deaths. Am J Epidemiol. 2014 Apr 1;179(7):884-94. doi: 10.1093/aje/kwt333. Epub 2014 Feb 11. PubMed 24521559 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Collected data will be analyzed and published. Meaningful data will be available through published material.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03404518
Responsible party
Jared Inman (Associate Professor, Loma Linda University) — Principal investigator
First posted
Jan 19, 2018
Start date
Feb 21, 2018
Primary completion
Oct 1, 2018
Completion
Oct 1, 2018
Results posted
Mar 16, 2022
Last update
Mar 16, 2022

Study contacts

Jared Inman, MD
principal investigator · Loma Linda University Health System

Oversight

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

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This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Hydrocodone · Acetaminophen

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