Acute Pediatric Fracture Analgesia Study

A clinical trial comparing ibuprofen and acetaminophen with codeine for children after discharge from the emergency department. We hypothesize that Ibuprofen will provide 20% more effective analgesia compared to acetaminophen with codeine in children with uncomplicated forearm fractures...

Date First Received: August 22, 2007

Last Updated: March 6, 2008

Verified by: Medical College of Wisconsin, March 2008

Clinical Trial Phase: N/A | Start Date: September 2003

Overall Status: Completed

Estimated Enrollment: 335

Brief Summary

Official Title: “Ibuprofen Versus Acetaminophen With Codeine In Acute Pediatric Forearm Fractures”

Condition Keyword(s):

A clinical trial comparing ibuprofen and acetaminophen with codeine for children after discharge from the emergency department. We hypothesize that Ibuprofen will provide 20% more effective analgesia compared to acetaminophen with codeine in children with uncomplicated forearm fractures.

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Safety/Efficacy Study

Detailed Clinical Trial Description

A clinical trial comparing ibuprofen and acetaminophen with codeine for children after discharge from the emergency department. We hypothesize that Ibuprofen will provide 20% more effective analgesia compared to acetaminophen with codeine in children with uncomplicated forearm fractures.

A random table will be used to generate an assignment of the participants to either ibuprofen or acetaminophen with codeine. Assessment of the child's pain severity, pain medication use, functional limitations and parental satisfaction will allow for identification of a difference in the management of pain in the first 72 hours after a forearm fracture. Descriptive statistics will be used to analyze demographic data.

Outcome Measures for this Clinical Trial

Primary:

  • Change to rescue medication First 72 hours after ED discharge

Secondary:

  • Pain score First 72 hours after ED discharge
  • Functional outcomes: eat, sleep, play, school First 72 hours after ED discharge

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Children ages 4-18 years of age with an uncomplicated forearm fracture that is evaluated within 12 hours of injury and requires only splinting

Exclusion Criteria:

  • A history of a bleeding disorder, uncontrolled chronic medical disease, regularly use of or allergy to acetaminophen, ibuprofen, or codeine or developmental delay

Clinical Trials Locations, Contact Details, and Sponsors

Lead Sponsor: Medical College of Wisconsin

Children's Hospital of Wisconsin

Milwaukee Wisconsin 53201 United States

Overall Clinical Trial Officials and Contacts

Amy L Drendel, DO Principal Investigator Medical College of Wisconsin  

Additional Information

Information obtained from ClinicalTrials.gov on July 23, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00520442

Study ID Number: Fracture Pain

ClinicalTrials.gov Identifier: NCT00520442

Health Authority: United States: Institutional Review Board

Clinical Trials Authorship and Review

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