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Oral Morphine Versus Ibuprofen

This study has been completed.
Information provided by (Responsible Party):
Naveen Poonai, Lawson Health Research Institute Identifier:
First received: September 13, 2012
Last updated: July 15, 2014
Last verified: July 2014
Children 5-17 years of age who have sustained a non-operative distal forearm (radius and/or ulna) or clavicular fracture will be randomized to receive either ibuprofen or oral morphine as needed for pain relief for the first 24 hours following discharge from the emergency department. Pain will be assessed using the self-report Faces pain scale revised (FPS-R). We hypothesize that oral morphine will result in greater pain relief than ibuprofen.

Condition Intervention
Upper Extremity Fractures
Analgesia Post Fracture
Drug: Oral morphine
Drug: Ibuprofen

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Oral Morphine Versus Ibuprofen for Post-fracture Pain Management in Children: a Randomized Controlled Study

Resource links provided by NLM:

Further study details as provided by Lawson Health Research Institute:

Primary Outcome Measures:
  • Faces Pain scale - revised [ Time Frame: 30 minutes post intervention compared to baseline ]
    The primary outcome variable is the pre-post intervention difference in pain scores as measured by self-reported Faces Pain Scale - Revised (FPS-R) for the first 24 hours post-fracture management following the as needed administration of the study drugs.

Secondary Outcome Measures:
  • Acetaminophen doses [ Time Frame: 24 hours ]
    The secondary outcome variable is the number of breakthrough acetaminophen doses required/taken by the participant for the first 24 hours post-fracture management

Enrollment: 183
Study Start Date: September 2012
Study Completion Date: February 2014
Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Ibuprofen Drug: Ibuprofen
Ibuprofen 10 mg/kg (max 600 mg) every 6 hours as needed for pain (maximum 4 doses) for 24 hours following discharge from the emergency department
Experimental: Oral morphine Drug: Oral morphine
oral morphine 0.5 mg/kg (max 10 mg) every 6 hours as needed for 24 hours


Ages Eligible for Study:   5 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Exclusion Criteria:

  • patients with known hypersensitivity to either ibuprofen or morphine
  • chronic users of NSAIDS or opioids
  • fractures requiring operative management
  • associated injuries requiring analgesia
  • poor English fluency
  • pregnancy

Inclusion Criteria:

  • All patients aged 5 to 17 years with a non-operative forearm or distal radius fracture
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Please refer to this study by its identifier: NCT01690780

Canada, Ontario
London Health Sciences Center
London, Ontario, Canada, N6A5W9
Sponsors and Collaborators
Naveen Poonai
Principal Investigator: Naveen Poonai, MD, FRCPC Lawson Health Research Institute
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Naveen Poonai, Principal Investigator, Lawson Health Research Institute Identifier: NCT01690780     History of Changes
Other Study ID Numbers: R-11-340
18091 ( Other Identifier: REB )
Study First Received: September 13, 2012
Last Updated: July 15, 2014

Keywords provided by Lawson Health Research Institute:
oral morphine

Additional relevant MeSH terms:
Fractures, Bone
Wounds and Injuries
Analgesics, Opioid
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Anti-Inflammatory Agents
Antirheumatic Agents
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action processed this record on May 25, 2017