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Phase 3 N=194 Randomized Triple-blind Treatment

Trial Comparing Morphine to Hydromorphone in Elderly Patients With Severe Pain

Acute Pain

Enrolled (actual)
194
Serious AEs
0.0%
Results posted
Aug 2018
Primary outcome: Primary: Change in Pain Intensity — 3.3; 3.8 units on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Morphine (Drug); Hydromorphone (Drug)
Age
Older Adult · 65+ yrs
Sex
All
Sponsor
Montefiore Medical Center
Primary completion
Mar 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Pain Intensity
3.3; 3.8
SECONDARY
Number of Participants With a Change in Pain Score
53; 53; 37; 40
SECONDARY
Number of Participants With Pain Relief
37; 32; 53; 61
SECONDARY
Number of Participants Satisfied With Pain Medication
56; 59; 34; 34

Summary

The purpose of this research study is to determine which opiate pain medication (morphine or hydromorphone (Dilaudid)) is more effective in the treatment of acute pain in patients presenting to the emergency department.

Eligibility Criteria

Inclusion Criteria

  • Age greater than 65 years
  • Pain with onset within 7 days
  • ED attending physician's judgment that patient's pain warrants use of parenteral opioids
  • Normal mental status

Exclusion Criteria

  • Prior use of methadone
  • Use of other opioids or tramadol within past seven days
  • Prior adverse reaction to morphine or hydromorphone
  • Chronic pain syndrome
  • Alcohol intoxication
  • Systolic Blood Pressure <90 mm Hg
  • Use of monoamine oxidase (MAO) inhibitors in past 30 days
  • Elderly patients with a capnometry reading of greater than 46
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00305058). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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