ClinicalTrials.gg
CompletedNCT03457116Updated Nov 23, 2021Results posted

Narcotics vs NSAIDs for Post-operative Analgesia in Outpatient Rhinoplasty

A Phase 4 interventional study of Norco and NSAID in Rhinoplasty, Non-steroidal Ant Inflammatory Drugs and Opioid Use, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-11-23.

Sponsored by NYU Langone Health · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

The purpose of this study is to compare the efficacy and safety of oral opiate pain medication vs non-steroidal ant inflammatory drugs (NSAIDs) in the treatment of postoperative rhinoplasty pain. This study will also evaluate potential contributing factors affecting the efficacy of these pain control methods. Patients will be randomized to receive either NSAIDs in the form of 400mg of Ibuprofen or Norco (hydrocodone 5mg- acetaminophen 325mg) to be used for post-operative pain. The study will then compare which is more effective in controlling post operative pain.

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Conditions studied

  • Rhinoplasty
  • Non-steroidal Ant Inflammatory Drugs
  • Opioid Use
03

In context

Lead sponsor

NYU Langone Health is the lead sponsor of 1,430 studies on the registry; 258 are open to participants now.

Of its 235 completed or terminated interventional studies of FDA-regulated products, 197 (84%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 70 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

  • Patients 18-70 years old undergoing septorhinoplasty or rhinoplasty for either obstructive or aesthetic reasons. All approaches to rhinoplasty and surgical techniques utilized will be included. This will include patients that undergo additional procedures during the rhinoplasty including osteotomies, turbinate reduction, septoplasty, nasal valve repair and ear cartilage graft.

Exclusion criteria

Exclusion Criteria:

  • Patients who undergo a rhinoplasty requiring a rib cartilage graft for the procedure as this is known to cause significant pleuritic chest pain.
  • Patients receiving functional endoscopic sinus surgery concurrently with the rhinoplasty will be excluded.
  • Patients with known history of gastrointestinal bleeds, peptic ulcer disease or who have other comorbidities that prevent them from taking NSAIDs.
  • Patients with a history of radiation, active head and neck or other pain disorders such as various rheumatologic diseases will be excluded to decrease confounding factors in the control of pain.
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Active comparator
    NSAIDS

    400mg of Ibuprofen

    Drug: NSAID

  • Active comparator
    Opiates

    Norco (hydrocodone 5mg- acetaminophen 325mg)

    Drug: Norco

Interventions

  • DrugNorco

    Drug pages: Hydrocodone · Acetaminophen

    20 tablets of Hydrocodone 5mg-Acetaminophen 325mg (Norco)

  • DrugNSAID

    Ibuprofen 400mg for post-operative pain

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What researchers measure

Primary outcomes

  1. Average Pain Score

    Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

    Time frame: Day 0

  2. Average Pain Score

    Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

    Time frame: Day 1

  3. Average Pain Score

    Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

    Time frame: Day 7

  4. Average Post-Operative Day (POD) of Medication Cessation

    Self-reported via Post-Operative Pain Management Survey

    Time frame: Day 7

Secondary outcomes

  1. Number of Participants in NSAIDs Group Who Were Upgraded to Opiates Due to High Levels of Pain

    Time frame: Day 7

07

Results

Posted Nov 23, 2021

Participant flow

Participant flow — Overall Study
MilestoneNSAIDSOpiates
Started4129
Completed4129
Not completed00

Outcome measures

PrimaryAverage Pain Score

Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

Time frame:
Day 0
Reported as:
Mean · score on a scale
Average Pain Score
score on a scaleNSAIDSOpiates
Average Pain Score2.54 ± 1.573.14 ± 1.75
PrimaryAverage Pain Score

Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

Time frame:
Day 1
Reported as:
Mean · score on a scale
Average Pain Score
score on a scaleNSAIDSOpiates
Average Pain Score1.84 ± 1.292.46 ± 1.90
PrimaryAverage Pain Score

Pain scores are reported via Post-Operative Pain Management Survey. On a scale of 1-10, participants indicate how much pain they were in on their pain regiment. The higher the score, the worse the pain (1 = no pain, 10 = worst pain possible)

Time frame:
Day 7
Reported as:
Mean · score on a scale
Average Pain Score
score on a scaleNSAIDSOpiates
Average Pain Score3.29 ± 2.143.14 ± 2.12
PrimaryAverage Post-Operative Day (POD) of Medication Cessation

Self-reported via Post-Operative Pain Management Survey

Time frame:
Day 7
Reported as:
Mean · days
Average Post-Operative Day (POD) of Medication Cessation
daysNSAIDSOpiates
Average Post-Operative Day (POD) of Medication Cessation4.73 ± 1.574.28 ± 2.23
SecondaryNumber of Participants in NSAIDs Group Who Were Upgraded to Opiates Due to High Levels of Pain
Time frame:
Day 7
Reported as:
Count of participants · Participants
Number of Participants in NSAIDs Group Who Were Upgraded to Opiates Due to High Levels of Pain
ParticipantsNSAIDS
Number of Participants in NSAIDs Group Who Were Upgraded to Opiates Due to High Levels of Pain5

Adverse events

Collected over 7 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NSAIDS0/41 (0%)0/41 (0%)0/41 (0%)
Opiates0/29 (0%)0/29 (0%)0/29 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)NSAIDSOpiatesTotal
Mean32 (19 to 70)32 (21 to 64)32 (19 to 70)
Sex: Female, Male
Sex: Female, Male(Participants)NSAIDSOpiatesTotal
Female191231
Male221739
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NSAIDSOpiatesTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported412970
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Study locations

1 site
  • NYU Langone Medical Center
    New York, New York 10016, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All of the individual participant data collected during the trial, after deidentification.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data are available indefinitely at (Link to be included).

Access criteria: Anyone who wishes to access the data.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03457116
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Mar 7, 2018
Start date
Jan 30, 2018
Primary completion
Nov 2, 2020
Completion
Nov 2, 2020
Results posted
Nov 23, 2021
Last update
Nov 23, 2021

Study contacts

Judy Lee, MD
principal investigator · NYU Langone

Oversight

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

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Studies of the drugs tested here: Hydrocodone · Acetaminophen · Anti-Inflammatory Agents, Non-Steroidal

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