MedPath

Parecoxib vs Paracetamol in the Treatment of Acute Renal Colic

Phase 4
Completed
Conditions
Acute Renal Colic
Ureteric Stone
Interventions
Registration Number
NCT03704623
Lead Sponsor
Mansoura University
Brief Summary

This study will be conducted to compare the efficacy and safety of Parecoxib versus Paracetamol for treatment of acute renal colic due to ureteric stones.

Detailed Description

Eligible patients will be randomized to one of the two treatment groups. Group 1 patients will receive IV 1 g of Paracetamol while group 2 patients will receive 40 mg of Parecoxib IV.

The Visual Analogue Scale (VAS) will be calculated on presentation and at 30 minutes after analgesia administration. Patients who do not respond to an initial dose of the analgesia will receive rescue analgesia in the form of Morphine, 01.mg/kg, IV.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Clinical signs and symptoms consistent with acute renal colic
Exclusion Criteria
  • Hypersensitivity to either Paracetamol or Parecoxib.
  • History of peptic ulcer.
  • Pregnant or breastfeeding females.
  • Patients with hepatic impairment (Child-Pugh score >10).
  • Patients with chronic kidney disease (CKD) Stage 4 or 5 (eGFR <30mls/min).
  • History of coronary ischemia, peripheral vascular or cerebrovascular disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ParacetamolParacetamolPatients will receive IV 1 g of Paracetamol
ParecoxibParecoxibPatients will receive 40 mg of Parecoxib IV
Primary Outcome Measures
NameTimeMethod
The need for rescue analgesia (Morphine)30 minutes

Patient who had persistent pain

Secondary Outcome Measures
NameTimeMethod
The incidence of adverse effects due to medication used24 hours

Assessment of adverse effects of the drug used

Trial Locations

Locations (1)

Al-Amiri Hospital

🇰🇼

Kuwait, Kuwait

© Copyright 2025. All Rights Reserved by MedPath