Morphine or Ketamine for Analgesia
NCT06835504 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1010
Last updated 2026-01-26
Summary
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.
Conditions
- Abdominal Pain
- Isolated Extremity Fracture
- Pain
- Pediatrics
Interventions
- DRUG
-
Ketamine hydrochloride
Sub-dissociative ketamine, IV
- DRUG
-
Morphine sulphate
Morphine, IV
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
National Institute of Neurological Disorders and Stroke (NINDS)
collaborator NIH - lead OTHER
Principal Investigators
-
Daniel S Tsze, MD, MPH · Columbia University
-
Amy L Drendel, DO, MS · Medical College of Wisconsin
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-01
- Primary Completion
- 2029-04-30
- Completion
- 2029-10-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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