Official Title

Assessing the Efficacy of IV Ibuprofen for Treatment of Pain in Orthopedic Trauma Patients
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Indication/Condition

    Pain
  • Intervention/Treatment

    ibuprofen ...
  • Study Participants

    99
STUDY OBJECTIVES:

To evaluate the effectiveness of around the clock (OTC) IV ibuprofen (8 doses) in decreasing pain in orthopedic trauma patients with fractures of the extremities, face, pelvis and/or ribs compared to patients not receiving the medication.
To evaluate the effectiveness of around the clock (OTC) IV ibuprofen (8 doses) in decreasing the use of opioid analgesics among orthopedic trauma patients with fractures of the extremities, face, pelvis, and/or ribs compared to compared to patients not receiving the medication.
Eligible patients were trauma patients between the ages of 18 and 75 years old with adequate IV access who were able to self-report and communicate pain severity and who were consecutively admitted to the trauma intensive care unit (ICU) or trauma step-down units with a fracture of the ribs, face, extremities and/or pelvis.

Eligible patients who signed the informed consent were randomized to either IV Ibuprofen (Caldolor®) or Placebo via a computer-generated randomization list.

Patients had pain measured using a Numerical Rating Scale (NRS) that ranged from 0 (no pain) to 10 (worst possible pain)
Study Started
Oct 31
2012
Primary Completion
Apr 30
2017
Study Completion
Feb 28
2018
Results Posted
Jul 12
2021
Last Update
Jul 12
2021

Drug IV Ibuprofen

  • Other names: IV Caldolor

Drug placebo

  • Other names: iv saline

IV Ibuprofen 800 mg Active Comparator

IV Ibuprofen 800 mg

IV Saline Placebo Comparator

IV Saline

Criteria

Inclusion Criteria:

Trauma patient admitted to Trauma ICU or Trauma Step-Down Units.
Fracture of ribs, face, extremities and/or pelvis
Age between 18 and 75 years old
Adequate IV access
Able to self report and communicate pain severity

Exclusion Criteria:

History of allergy or hypersensitivity to any component of IV Ibuprofen, aspirin (or aspirin related products) NSAIDs, or COX-2 inhibitors
Any intracranial or spinal cord trauma
History of clinically significant bleeding disorders including ITP, DIC or platelet dysfunction
Recent history of intracranial surgery or stroke (within past 30 days)
History of ulcers, gastritis or previous GI bleeding
Renal Impairment (Creatinine > 3.0 mg/dL)
Pregnant or breastfeeding
Otherwise unsuitable in the opinion of the treating physician at time of randomization.

Summary

IV Ibuprofen 800 mg

IV Saline

All Events

Event Type Organ System Event Term

Efficacy of IV Ibuprofen in Orthropedic Trauma Patients

Outcome measure based on morphine equivalent dosage comparing the two groups

IV Ibuprofen 800 mg

74.9
morphine equivalent dosage, mg (Least Squares Mean)
95% Confidence Interval: 62.1 to 87.8

IV Saline

97.8
morphine equivalent dosage, mg (Least Squares Mean)
95% Confidence Interval: 84.4 to 111.2

Total

74
Participants

Race and Ethnicity Not Collected

0
Participants

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

IV Saline

IV Ibuprofen 800 mg

Drop/Withdrawal Reasons

IV Ibuprofen 800 mg

IV Saline