Optimization of Pediatric Tonsillectomy to IMprove AnaLgesia
NCT06576830 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 440
Last updated 2025-12-05
Summary
The purpose of this study is to compare the use of short acting opioids (fentanyl/hydromorphone) with long acting opioids (methadone) for pain control following tonsillectomy surgery in children and adolescents.
Conditions
- Pain, Postoperative
- Tonsillar Hypertrophy
- Tonsillitis
- Pediatric Sleep Apnea
- Sleep-Disordered Breathing
Interventions
- DRUG
-
Methadone
Single-dose intraoperative intravenous methadone with initial dose at 0.15 mg/kg in children and 0.2 mg/kg in adolescents.
- DRUG
-
Fentanyl/Hydromorphone
Per routine care, given as needed
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH - lead OTHER
Principal Investigators
-
Lisa M. Einhorn, MD · Duke University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 3 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-11-21
- Primary Completion
- 2028-12-31
- Completion
- 2029-06-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Opioid Sparing Anesthesia Care for Pediatric Patients Having Tonsil Surgery
NCT06326983 ·Status: COMPLETED ·Phase: NA
-
Opioid-Free Anesthetic for Tonsillectomy
NCT04528173 ·Status: TERMINATED ·Phase: PHASE4
-
Individualized Analgesia After Adenotonsillectomy
NCT02990910 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Opioid-free Anesthesia in Reducing Postoperative Respiratory Depression in Children Undergoing Tonsillectomy
NCT02987985 ·Status: COMPLETED ·Phase: PHASE3
-
Opioid & Steroid Use Following Tonsillectomy in Pediatric Patients
NCT04541147 ·Status: TERMINATED ·Phase: PHASE4
-
A Comparison of Postoperative Tramadol Versus Acetaminophen With Codeine in Children Undergoing Tonsillectomy
NCT01267136 ·Status: COMPLETED ·Phase: PHASE4
-
Pediatric Tonsillectomy Pain Reduction Study
NCT00678379 ·Status: COMPLETED ·Phase: PHASE3
-
Individualized Analgesia for Pediatric Adenotonsillectomy
NCT04527393 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesic Effect of IV Acetaminophen in Tonsillectomies
NCT01691690 ·Status: COMPLETED ·Phase: PHASE2
-
Use of Analgesics and Pain Scores After Pediatric Adenotonsillectomy
NCT04349397 ·Status: UNKNOWN
-
Low Dose Ketamine as an Adjunct to Fentanyl in Outpatient Tonsillectomy
NCT00587665 ·Status: COMPLETED ·Phase: NA
-
Post-operative Pain Control After Pediatric Adenotonsillectomy
NCT02296840 ·Status: TERMINATED ·Phase: PHASE4
-
A Comparative Study With Parenteral Oxycodone, Morphine and Dexamethasone in Postoperative Pain in Paediatric Patients
NCT00733083 ·Status: UNKNOWN ·Phase: NA
-
Remifentanil Tapering and Post-adenotonsillectomy Pain in Children
NCT03994146 ·Status: TERMINATED ·Phase: PHASE4
-
Pain Management in Pediatric Adenotonsillectomy
NCT05928520 ·Status: UNKNOWN ·Phase: PHASE3
-
The Effect of Peritonsillar Infiltration of Ketamine and Dexamethasone for Postoperative Pain Relief in Children Following Adenotonsillectomy
NCT01198210 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Effects of Propofol on Respiratory Adverse Events During Extubation in Children Undergoing Tonsil Adenoidectomy
NCT05769842 ·Status: COMPLETED ·Phase: NA
-
Effect of Opioids on Ventilation in Children With Obstructive Sleep Apnea
NCT03938259 ·Status: COMPLETED
-
Dexmedetomidine in Pediatric Tonsillectomy
NCT01057381 ·Status: COMPLETED ·Phase: PHASE4
-
Etomidate and Esketamine on Postoperative Pain After Tonsillectomy Undergoing Children
NCT07062601 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Metabolomic Profiling of Racial Disparity
NCT06266429 ·Status: ACTIVE_NOT_RECRUITING
-
Does Pre and Postoperative Dextromethorphan Reduce Post-tonsillectomy Pain in Children?
NCT02727491 ·Status: COMPLETED ·Phase: PHASE4
-
Steroids and Pain Control After Tonsillectomy
NCT03995628 ·Status: COMPLETED ·Phase: PHASE2
-
Opioid-sparing Effect of Intranasal Dexmedetomidine
NCT05848505 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine Combined With Hydromorphone in Tonsillectomy and Adenoidectomy
NCT03760809 ·Status: COMPLETED ·Phase: PHASE4