Analgesic Effect of Intranasal Calcitonin on Patients With Fractured Ribs

Université de Montréal

Status and phase

Terminated

Phase 4

Conditions

Rib Fractures

Pain

Treatments

Drug: Intranasal calcitonin

Study type

Interventional

Funder types

Other

Identifiers

NCT00444808

C.E. 2004-11-77

Details and patient eligibility

About

This study, which will be conducted at the emergency room of the Sacré-Cœur hospital, requires the recruitment of 60 subjects and involves some telephone follow-up.

Calcitonin administered as an intranasal spray is already used to relieve pain caused by broken vertebrae and we seek to determine if it can be as efficient in the case of pain caused by broken ribs.This study aims at testing the hypothesis that subjects suffering from the accidental fracture of one or more ribs will get relief through the intranasal spraying of calcitonin and/or will use less opiate medication for pain relief (a combination of oxycodone chlorhydrate and acetaminophen called Percocet®).

Enrollment

19 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients aged 18 or more.
Accidental rib fracture (one or more) visible on a lung\thorax radiography, or on a CT Scan of the thorax, as determined by the emergency physician or the radiologist.
The rib fracture is the main cause of pain.
The patient says yes to the question "do you wish something for your pain" (the result of the quantitative assessment of the pain in not taken into consideration) or the patient has already received an analgesic before the initial assessment by the emergency physician.
The patient is seen no more than 48 hours after the accident.

Exclusion criteria

The patient is already receiving SC.
Allergy or intolerance to SC, oxycodone chlorhydrate or acetaminophen
Active neoplasia history for at least 5 years
Toxicomania history as revealed by case history
Osteoporosis linked to hyperparathyroidism
Patient already using opiate analgesics or other analgesics on a regular basis (excluding aspirin at doses of 325 mg or less, as a prophylactic for cardiovascular diseases and under stable posology for at least 15 days)
Steroid use within the past month
Pregnancy, breast feeding
Non-availability of patient for telephone follow-ups or follow-up appointments.