ClinicalTrials.gg
RecruitingNCT03427736ANA01Updated Oct 16, 2026

Anesthetics and Analgesics in Children

An observational study in Anesthesia and Pain, sponsored by Chi Dang Hornik. Recruiting at 13 sites in 2 countries. Open to participants aged 6 Months to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Chi Dang Hornik · Observational

From the registry’s dates

  • Started Dec 2018; still recruiting 7 years 10 months later.
Updated Oct 16, 2026Site recruiting status changedEligibility revised+1 moreGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
551
Ages
6 Months to 17 Years
Sex
All
01

Study summary

The purpose of this study is to characterize the pharmacokinetic (PK) and safety profile of anesthetics and analgesics in children and adolescents.

Read the detailed description

This is a research study to find out what the side effects are of certain drugs that are commonly used for pain and to put people to sleep for surgery. The researchers also want to know how the drug is broken down in the body. Participants will be given these drugs as they are prescribed by their regular doctor. As part of the participant's standard of care, doctors will perform tests, ask questions, review medical information and measure vital signs (heart rate, blood pressure, etc). The researchers will collect information that doctors have already written in the medical records. The research study team will collect blood from participants at certain time points depending on when the participant was first given the drug (up to 5 samples over the course of 10 to 48 hours). Examples of current and upcoming anesthetics and analgesics include, but are not limited to: ketorolac (Toradol), ketamine (Ketalar), oxycodone (OxyContin), and morphine (Kadian, MS Contin).

02

Conditions studied

  • Anesthesia
  • Pain

Browse trials for

03

In context

Pain

10,054 studies on the registry are indexed under Pain; 1,649 are open to participants now.

This study's planned enrollment of 551 is above the median of 100 across 1,252 observational studies indexed under Pain.

Browse Pain studies →

Lead sponsor

Chi Dang Hornik is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 16, 2026. See what changed

Ages eligible
6 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Approximately 100 participants will be enrolled to each of the study drug of interests (DOI) cohorts. Participants who satisfy eligibility criteria and are receiving one or more DOIs per standard of care will be consented into the study and assigned to the corresponding DOI cohort. DOI cohort assignments will be at the discretion of the treating physician based on the DOIs that are administered per standard of care. Participants will be selected from a variety of centers including but not limited to trauma and intensive care units. Participants will not be randomized. Participants may count towards 1 or more DOIs within the same 90-day period.

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

  1. 6 months to \<18 years of age at time of enrollment (must see applicable appendix for details as not all appendices enroll across the entire age range)
  2. Parent and/or participant (if applicable) is able to understand the consent process and provides and HIPAA Authorization (if applicable)
  3. Participant provides assent as required by the institutional review board (IRB) or research ethics board (REB)
  4. Receiving one or more drugs of interest (DOI) per local standard of care
  5. Meeting DOI-specific inclusion criteria (See Appendices)

Exclusion criteria

Exclusion Criteria:

  1. Known pregnancy
  2. Extracorporeal life support (i.e., ECMO, dialysis, ventricular assist device)
  3. Any condition which would make the participant, in the opinion of the investigator, unsuitable for the study
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
551 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Drug of Interest

    Individuals receiving anesthetics or analgesics per standard of care

    Drug: Ketorolac Tromethamine · Drug: Hydromorphone · Drug: Ketamine · Drug: Oxycodone · Drug: Morphine · Drug: Fentanyl (IV)

Interventions

  • IV ketorolac will be given per standard of care, not prescribed for this study

    Also known as: Toradol

  • IV Hydromorphone will be given per standard of care, not prescribed for this study

    Also known as: Hydromorphone hydrochloride, Dilaudid

  • IV Ketamine will be given per standard of care, not prescribed for this study

    Also known as: Ketamine Hydrochloride

  • PO Oxycodone(solution or tablet) will be given per standard of care, not prescribed for this study

    Also known as: Oxycodone Hydrochloride

  • IV Morphine will be given per standard of care, not prescribed for this study

    Also known as: Morphine Sulfate

  • Fentanyl IV will be administered intravenously or intramuscularly per standard of care, not prescribed for this study

    Also known as: Fentanyl Citrate

06

What researchers measure

Primary outcomes

  1. Clearance (CL) or apparent oral clearance (CL/F)

    Time frame: up to 48 hours post dose

  2. Volume of distribution (V) or apparent oral volume of distribution (V/F)

    Time frame: up to 48 hours post dose

  3. Elimination rate constant (ke)

    Time frame: up to 48 hrs post dose

  4. Half-life (t1/2)

    Time frame: up to 48 hrs post dose

  5. Absorption rate constant (ka)

    Time frame: up to 48 hrs post dose

  6. Area under the curve (AUC)

    Time frame: up to 48 hrs post dose

  7. Maximum concentration (CMAX)

    Time frame: up to 48 hrs post dose

  8. Time to achieve maximum concentration (TMAX)

    Time frame: up to 48 hrs post dose

07

Study locations

7 of 13 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All data collected is uploaded into the National Institute of Health Data Repository (DASH) at the end of the study (de-identified).

Time frame: Data will be uploaded to the repository within 2 years of study completion. It will be maintained in the repository indefinitely.

Access criteria: In order to have access, researchers have to complete a Data access request. NICHD will review the request and either approve or deny it. IRB approval must be obtained by the researcher to access the data. https://dash.nichd.nih.gov/Resource/DataRequestChecklist

Data sharing details ↗ · dash.nichd.nih.gov

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2018 (actual). Primary completion is estimated for Aug 2027, 104 months after the start.

Of 504 non-industry observational studies under Pain, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 42. This study's planned 104 months is above that.

Counting every sponsor, half of 519 studies reached it within 18 months; a quarter within 8 and three quarters within 41.

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

Registered
Feb 2, 2018
First posted
Feb 9, 2018
StartActual
Dec 13, 2018
Primary completionEst.
Aug 30, 2027
CompletionEst.
Sep 9, 2027
Last update
Oct 16, 2026
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.
Sites
3 sites changed recruiting status (2 now recruiting, 1 now terminated)
Show 3 sites
  • Alfred I. DuPont Hospital for Children · Wilmington, United StatesActive, not recruiting→Recruiting
  • Washington University School of Medicine · St Louis, United StatesActive, not recruiting→Terminated
  • Hospital Sainte-Justine · Montreal, CanadaActive, not recruiting→Recruiting
Oct 16, 2026
Eligibility
Minimum age 0 Years→6 Months; 1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • Edited06 months to <18 years of age at time of enrollment (must see applicable appendix for details as not all appendices enroll across the entire age range)
Oct 16, 2026
Interventions
Added Drug: Fentanyl (IV)
Oct 16, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Alfred I. DuPont Hospital for Children · Wilmington, United StatesContact added m•••@nemours.org · •••4021Contact added g•••@nemours.org · •••4902
  • Hospital Sainte-Justine · Montreal, CanadaContact added j•••@umontreal.ca · •••4931Contact added c•••@ssss.gouv.qc.ca · •••4931
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    3 sites changed recruiting status (2 now recruiting, 1 now terminated)
    Show 3 sites
    • Alfred I. DuPont Hospital for Children · Wilmington, United StatesActive, not recruiting→Recruiting
    • Washington University School of Medicine · St Louis, United StatesActive, not recruiting→Terminated
    • Hospital Sainte-Justine · Montreal, CanadaActive, not recruiting→Recruiting
    Eligibility Minimum age 0 Years→6 Months; 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • Edited06 months to <18 years of age at time of enrollment (must see applicable appendix for details as not all appendices enroll across the entire age range)
    Interventions Added Drug: Fentanyl (IV)
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Alfred I. DuPont Hospital for Children · Wilmington, United StatesContact added m•••@nemours.org · •••4021Contact added g•••@nemours.org · •••4902
    • Hospital Sainte-Justine · Montreal, CanadaContact added j•••@umontreal.ca · •••4931Contact added c•••@ssss.gouv.qc.ca · •••4931
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03427736
Lead sponsor
Chi Dang Hornik
Collaborators
The Emmes Company, LLC
Responsible party
Chi Dang Hornik (Associate Professor of Pediatrics, Duke University) — Sponsor-investigator
First posted
Feb 9, 2018
Start date
Dec 13, 2018
Primary completion
Aug 30, 2027 (estimated)
Completion
Sep 9, 2027 (estimated)
Last update
Oct 16, 2026

Study contacts

Kady-Ann Steen-Burrell, PhD
Contact
kady.ann.steen.burrell@duke.edu
919-530-9711
Cheryl Alderman
Contact
cheryl.alderman@duke.edu
919-668-8349
Chi Hornik, PharmD
principal investigator · Duke Clinical Research Institute

Oversight

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

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