ClinicalTrials.gg
Enrolling by invitationNCT07743606Updated Aug 4, 2026

NSAIDS Following Elective Lumbar Spine Fusion

A Phase 3 interventional study of Ketorolac and Naproxen in NSAID (Non-Steroidal Anti-Inflammatory Drug), Lumbar Spine Fusion and Ketorolac, sponsored by Rothman Institute Orthopaedics. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-04.

Sponsored by Rothman Institute Orthopaedics · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Jul 2024, registered Jul 2026).
Phase
Phase 3
Study type
Interventional
Enrollment
428
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 68 studies testing ketorolac in Pain, Postoperative — 9 open to participants now, 9 under way, 3 of them phase 3. Ketorolac · Pain, Postoperative.

Planned enrollment
Largest of 68
428 · median 77
Started
2024
with 2 others
Phase 3
14 of 68
2 open now
Registered
67th of 68
by date
Lead sponsor
2 of 68
Rothman Institute Orthopaedics

Among the 68 studies testing ketorolac in Pain, Postoperative, this one has the largest planned enrollment, is one of 3 that started in 2024, is one of 14 in phase 3, and was the 67th registered.

By phase

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

Phase 425 · 3 open
Phase 3this study14 · 2 open
No phase12 · 1 open
Phase 28 · 0 open
Phase 16 · 1 open
Phase 2/32 · 1 open
Phase 1/21 · 1 open

By the year they started

First in 2000; this study’s year is marked. 3 started in 2024.

Size and results

Median enrollment 77 across the 68 interventional studies. Of the 47 that completed or were terminated, 20 (43%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 68 studies testing ketorolac in Pain, Postoperative, or all of them as a file.
02

Study summary

This study will compare two common approaches to pain control after lumbar spinal fusion surgery. Participants will be randomly assigned to receive either standard pain medication alone or standard pain medication plus a short course of nonsteroidal anti-inflammatory drugs (NSAIDs), including intravenous ketorolac while in the hospital and oral naproxen for one week after discharge.

The main goal is to determine whether taking NSAIDs after surgery affects how well the spine heals by increasing the chance of needing another surgery because the bones did not fuse properly within 2 years. The study will also evaluate pain medication use, recovery, hospital readmissions, complications, physical therapy progress, patient-reported pain and function, and overall healing. The results will help determine whether NSAIDs can be used safely as part of pain management after lumbar spinal fusion surgery while potentially reducing the need for opioid medications.

03

Conditions studied

  • NSAID (Non-Steroidal Anti-Inflammatory Drug)
  • Lumbar Spine Fusion
  • Ketorolac
  • Postoperative Pain

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04

Who can participate

Ages eligible
18 Years and older
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

  • ≥18 years of age, ≥1-level planned lumbar spinal fusion
  • Capacity to enroll
  • English speaking

Exclusion criteria

Exclusion Criteria:

  • Chronic kidney disease (preoperative creatinine ≥1.4)
  • History of gastrointestinal bleed or peptic ulcer disease
  • History of spinal fusion nonunion
  • Non-steroidal anti-inflammatory drug allergy
  • Previously diagnosed coagulopathy
  • Preoperative thrombocytopenia ( \<100,000)
  • Connective tissue disease
  • Operative indication due to infection, neoplasm, or trauma
  • Currently pregnant
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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
428 participants (estimated)

Study arms

  • Active comparator
    NSAID Group

    Participants will receive the institution's standard postoperative pain management regimen plus postoperative NSAID therapy consisting of intravenous ketorolac (15 mg every 6 hours for up to 48 hours while hospitalized) followed by oral naproxen (500 mg twice daily for 7 days after hospital discharge). If a participant is discharged before completing 48 hours of ketorolac therapy, no additional inpatient doses will be administered.

    Drug: Ketorolac · Drug: Naproxen · Other: Standard Postoperative Pain Management

  • Active comparator
    Control Group

    Participants will receive the institution's standard postoperative pain management regimen without postoperative NSAIDs. No placebo will be administered.

    Other: Standard Postoperative Pain Management

Interventions

  • Intravenous ketorolac 15 mg administered every 6 hours for up to 48 hours after surgery.

  • Oral naproxen 500 mg administered twice daily for 7 days after hospital discharge.

  • OtherStandard Postoperative Pain Management

    Standard postoperative multimodal pain regimen used at the institution, excluding NSAIDs administered as part of the study intervention.

06

What researchers measure

Primary outcomes

  1. Revision surgery for symptomatic lumbar spinal fusion nonunion

    The proportion of participants who undergo revision lumbar fusion surgery for symptomatic nonunion (pseudarthrosis), as determined by the treating spine surgeon based on clinical evaluation and imaging findings.

    Time frame: Up to 2 years after surgery

Secondary outcomes

  1. Radiographic lumbar fusion status

    The proportion of participants with radiographic evidence of nonunion (pseudarthrosis) based on standard radiographs and/or computed tomography (CT), as determined by the treating spine surgeon.

    Time frame: 6 months, 1 year, and 2 years after surgery

  2. Inpatient opioid consumption

    Total opioid consumption during hospitalization, converted to morphine milligram equivalents (MME).

    Time frame: During the index hospitalization (up to approximately 3 days)

  3. Postoperative outpatient opioid consumption

    Daily opioid use, reported as morphine milligram equivalents (MME), at routine postoperative follow-up visits.

    Time frame: 2 weeks, 6 weeks, 6 months, 1 year, and 2 years after surgery

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07743606
Responsible party
Sponsor
First posted
Aug 4, 2026
Start date
Jul 8, 2024
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Aug 4, 2026

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drugs tested here: Ketorolac · Naproxen

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