Safety Study of Post Tonsillectomy Ibuprofen Use in Adults
NSAID Post-Tonsillectomy Hemorrhage: A Randomized, Double-Blinded Controlled Noninferiority Trial
1 other identifier
interventional
810
1 country
3
Brief Summary
The purpose of this study is to determine if ibuprofen use after electrocautery tonsillectomy increases the post-tonsillectomy hemorrhage rate. Hypothesis: Use of ibuprofen does not increase the post-tonsillectomy hemorrhage rate. Primary outcome: Rate of tonsillar hemorrhage following adult tonsillectomy in those receiving narcotic pain medications plus ibuprofen compared to those receiving narcotics alone. Secondary outcome: Determine whether ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), decreases post tonsillectomy pain, narcotic pain medication use, or cost of pain management.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2013
Typical duration for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 18, 2013
CompletedFirst Posted
Study publicly available on registry
April 23, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2016
CompletedApril 24, 2013
April 1, 2013
3 years
April 18, 2013
April 22, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
clinically defined tonsil bleed rate (percentage)
A post tonsillectomy hemorrhage/bleed, for the purposes of this study, is defined as a postoperative bleed requiring anything more than medicinal intervention (cauterization of any kind, suture, evaluation in operating room).
2 weeks
Secondary Outcomes (4)
Hospital readmission rate (percentage)
2 weeks
Subclinical (not requiring intervention) subjectively reported tonsil bleed rate (percentage)
2 weeks
Pain scale rating
2 Weeks
Nausea Scale
2 weeks
Study Arms (2)
Ibuprofen
EXPERIMENTAL800mg ibuprofen every 8 hours prn pain.
Methylcellulose Powder
PLACEBO COMPARATORSubjects receive inert methylcellulose powder as placebo
Interventions
Eligibility Criteria
You may qualify if:
- Adults 18 years old or older
- Scheduled for tonsillectomy
You may not qualify if:
- Prisoners
- Pregnancy
- Allergy to ibuprofen
- History of vasculopathy to include Lupus or Wegener's or Disseminated Intravascular Coagulation (DIC)
- Any other bleeding disorder to include Von Willebrand Disease and others
- Active Neoplasm of any kind
- Tonsillectomy in combination with any sleep surgical procedure or palatal procedure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brooke Army Medical Centerlead
- Madigan Army Medical Centercollaborator
- Tripler Army Medical Centercollaborator
- 59th Medical Wingcollaborator
- Blanchfield Army Community Hospitalcollaborator
Study Sites (3)
Brooke Army Medical Center
Fort Sam Houston, Texas, 78234, United States
Wilford Hall Ambulatory Surgical Center
Lackland Air Force Base, Texas, 78236, United States
Madigan Army Medical Center
Tacoma, Washington, 98431, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gregory R Dion, MD, MS
San Antonio Military Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, MS, CPT, MC, USA
Study Record Dates
First Submitted
April 18, 2013
First Posted
April 23, 2013
Study Start
April 1, 2013
Primary Completion
April 1, 2016
Study Completion
May 1, 2016
Last Updated
April 24, 2013
Record last verified: 2013-04