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The purpose of this study is to assess the safety and efficacy of ropivacaine and hydrocodone for nail-procedure associated pain management. The investigators hypothesize that ropivacaine with hydrocodone will be superior to ropivacaine with acetaminophen and ibuprofen for managing pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hydrocodone 5mg/acetaminophen 325mg | Active Comparator | Participants receive oral hydrocodone 5 mg/acetaminophen 325 mg every 4 hours for 2 days, followed by oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 4 days |
|
| Acetaminophen 1000mg + Ibuprofen 400mg | Active Comparator | Participants receive oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 6 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hydrocodone 5Mg/Acetaminophen 325Mg Tab | Drug | 5 mg/325 mg tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Pain Scores on Postoperative Day 2, as Measured by the Wong-Baker 0-to-10 Pain Scale | Change in pain scores obtained with the Wong-Baker 0-to-10 pain scale between the 2 groups on postoperative day 2. The Wong-Baker 0-to-10 pain scale is used for rating the severity of pain, with scores ranging from 0 to 10, and higher scores indicating greater severity of pain. | Baseline, 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Health-related Quality of Life Scores on Postoperative Days 3 and 6, as Measured by an Adapted APS-POQ-R Questionnaire | Change in health-related quality of life associated with pain obtained with an adapted version of the APS-POQ-R (APS Patient Outcome Questionnaire) between the 2 groups on postoperative days 3 and 6. The APS-POQ-R is a questionnaire used for rating health-related quality of life associated with pain, with scores of each domain ranging from 0 to 10 or 0% to 100%, and higher scores indicating greater severity of impact on quality of life (12 domains summed up for total score range of minimum 0 to maximum 120). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shari Lipner, MD, PhD | Weill Medical College of Cornell University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Weill Medical College of Cornell University | New York | New York | 10021 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37619705 | Derived | Hwang JK, Ricardo JW, Lipner SR. Combination of acetaminophen and ibuprofen is noninferior to acetaminophen and hydrocodone for postnail procedure analgesia: A randomized controlled trial. J Am Acad Dermatol. 2023 Dec;89(6):1300-1302. doi: 10.1016/j.jaad.2023.08.042. Epub 2023 Aug 22. No abstract available. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Hydrocodone 5mg/Acetaminophen 325mg | Participants receive oral hydrocodone 5 mg/acetaminophen 325 mg every 4 hours for 2 days, followed by oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 4 days Hydrocodone 5Mg/Acetaminophen 325Mg Tab: 5 mg/325 mg tablet Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
| FG001 | Acetaminophen 1000mg + Ibuprofen 400mg | Participants receive oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 6 days Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Hydrocodone 5mg/Acetaminophen 325mg | Participants receive oral hydrocodone 5 mg/acetaminophen 325 mg every 4 hours for 2 days, followed by oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 4 days Hydrocodone 5Mg/Acetaminophen 325Mg Tab: 5 mg/325 mg tablet Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Pain Scores on Postoperative Day 2, as Measured by the Wong-Baker 0-to-10 Pain Scale | Change in pain scores obtained with the Wong-Baker 0-to-10 pain scale between the 2 groups on postoperative day 2. The Wong-Baker 0-to-10 pain scale is used for rating the severity of pain, with scores ranging from 0 to 10, and higher scores indicating greater severity of pain. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 2 days |
|
30 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Hydrocodone 5mg/Acetaminophen 325mg | Participants receive oral hydrocodone 5 mg/acetaminophen 325 mg every 4 hours for 2 days, followed by oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 4 days Hydrocodone 5Mg/Acetaminophen 325Mg Tab: 5 mg/325 mg tablet Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr Shari Lipner | Weill Cornell Medicine | 6469623376 | shl9032@med.cornell.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 15, 2022 | Aug 22, 2023 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D009260 | Nail Diseases |
| D009264 | Nails, Malformed |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D006853 | Hydrocodone |
| D000082 | Acetaminophen |
| C083640 | acetaminophen, hydrocodone drug combination |
| C514822 | oxycodone-acetaminophen |
| D007052 | Ibuprofen |
| ID | Term |
|---|---|
| D003061 | Codeine |
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
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| Acetaminophen 1000mg | Drug | 1000 mg tablet |
|
|
| Ibuprofen 400 mg | Drug | 400 mg tablet |
|
|
| 3 days, 6 days (end of study) |
| BG001 |
| Acetaminophen 1000mg + Ibuprofen 400mg |
Participants receive oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 6 days Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Acetaminophen 1000mg + Ibuprofen 400mg |
Participants receive oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 6 days Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet |
|
|
|
| Secondary | Change in Health-related Quality of Life Scores on Postoperative Days 3 and 6, as Measured by an Adapted APS-POQ-R Questionnaire | Change in health-related quality of life associated with pain obtained with an adapted version of the APS-POQ-R (APS Patient Outcome Questionnaire) between the 2 groups on postoperative days 3 and 6. The APS-POQ-R is a questionnaire used for rating health-related quality of life associated with pain, with scores of each domain ranging from 0 to 10 or 0% to 100%, and higher scores indicating greater severity of impact on quality of life (12 domains summed up for total score range of minimum 0 to maximum 120). | Posted | Mean | Standard Deviation | score on a scale | 3 days, 6 days (end of study) |
|
|
|
|
| 0 |
| 10 |
| 0 |
| 10 |
| 0 |
| 10 |
| EG001 | Acetaminophen 1000mg + Ibuprofen 400mg | Participants receive oral acetaminophen 1000 mg and oral ibuprofen 400 mg every 6 hours for 6 days Acetaminophen 1000mg: 1000 mg tablet Ibuprofen 400 mg: 400 mg tablet | 0 | 10 | 0 | 10 | 0 | 10 |
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| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D000470 |
| Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D010666 | Phenylpropionates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |