Morphine or Ketamine for Analgesia

Part of paid clinical trials in Los Angeles, California.

Sponsor
Columbia University
Study ID
NCT06835504
Phase
PHASE3
Status
Not Yet Recruiting

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Conditions

  • Abdominal Pain
  • Isolated Extremity Fracture
  • Pain
  • Pediatrics

Eligibility Criteria

Sex
ALL
Age
6 Years - 17 Years
Healthy Volunteers
Not accepted

Interventions

  • Ketamine hydrochloride — DRUG
    Sub-dissociative ketamine, IV
  • Morphine sulphate — DRUG
    Morphine, IV

Study Details

Pain is common in children presenting to the emergency department but is frequently undertreated, leading to both short- and long-term consequences. Morphine is the standard treatment for children with moderate to severe acute pain, but its use is associated with serious side effects and caregiver and clinician concerns related to opioid administration. The investigators aim to determine if sub-dissociative ketamine is non-inferior to morphine for treating acute pain and a preferable alternative for treating acute pain in children because of its more favorable side effect profile and potential long-term benefits related to pain-related function, analgesic use/misuse, and mental and behavioral health outcomes.

Key Dates

Start date
Sep 1, 2026
Status verified
Jun 2026
Primary completion
Aug 30, 2029
Completion
Feb 28, 2030

Study Design

Enrollment
1,010 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Sub-dissociative ketamine
    0.25 mg/kg, maximum dose 25 mg
  • Active Comparator: Morphine
    0.1 mg/kg, maximum dose 8 mg

Primary Outcome Measure

Pain intensity [ Time Frame: Up to 120 minutes after completion of study drug administration or until a terminal event occurs ]

Central Contacts

Locations (8)

FacilityCityStateZIPSite coordinators
Children's Hospital Los AngelesLos AngelesCalifornia90027
Deborah Liu, MD
323-660-2450
UC Davis Children's HospitalSacramentoCalifornia95817
Leah Tzimenatos, MD
800-282-3284
Nemours Children's HospitalWilmingtonDelaware19803
Amy Thompson, MD, MSCR
302-651-4200
Arthur M. Blank HospitalAtlantaGeorgia30329
Becky Burger, MD
404-785-5437
Claudia R Morris
NewYork Presbyterian Morgan Stanley Children's HospitalNew YorkNew York10032
Daniel S Tsze, MD, MPH
212-305-6628
Raquel Shrager
UPMC Children's Hospital of PittsburghPittsburghPennsylvania15224
Maren Lunoe, MD
412-692-5325
Bob Hickey, MD
Seattle Children's HospitalSeattleWashington98105
Eileen Klein, MD, MPH
206-987-8811
Children's WisconsinMilwaukeeWisconsin53226
Amy L Drendel, DO, MS
877-266-8989

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