Measurement of the blood levels of the painkiller diclofenac in children following a single intravenous dose

ISRCTN ISRCTN65890744
DOI https://doi.org/10.1186/ISRCTN65890744
Secondary identifying numbers N/A
Submission date
23/02/2010
Registration date
07/04/2010
Last edited
29/06/2017
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Dylan Prosser
Scientific

Department of Paediatric Anaesthesia
Royal Manchester Children's Hospital
Oxford Road
Manchetser
M13 9WL
United Kingdom

Phone +44 (0)1617011263
Email dylan.prosser@cmft.nhs.uk

Study information

Study designOpen-label single-dose pharmacokinetic trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a patient information sheet.
Scientific titleA pharmacokinetic study of intravenous diclofenac (Dyloject®) in children undergoing routine surgery: an open-label, single-dose trial
Study objectivesTo evaluate the standard pharmacokinetic parameters such as clearance and volume of distribution of Dyloject® when administered as a single intravenous bolus dose of 0.5 mg/kg.
Ethics approval(s)Pan-Manchester R&D committee -– approval pending
Health condition(s) or problem(s) studiedPharmacokinetic study in children
InterventionChildren will be starved according to the UK National Paediatric Starvation Guideline produced by the Association of Paediatric Anaesthetists of GB & Ireland in conjunction with The Royal College of Nursing. The guideline stipulates 2 hours for clear fluids and six hours for solids/food. 25 healthy children aged 2 to 8 years undergoing elective surgery will receive a single intravenous dose of diclofenac (trade name Dyloject®) 0.5 mg/kg on induction of anaesthesia. Seven 1.5 ml blood samples will be collected from each child at 2, 5, 15, 60, 120, 240 and 360 minutes after the administration of the drug through a dedicated intravenous cannula. Routine postoperative observations of temperature, pulse, blood pressure and oxygen saturation will be performed during the study period of 6 hours and beyond that as indicated by the type of surgery and postoperative care required.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)Diclofenac
Primary outcome measurePlasma diclofenac assays
Secondary outcome measuresMeasuring decaying plasma concentrations to estimate ancillary parameters such as Cmax, Tmax, UAC and T1/2
Overall study start date01/06/2010
Completion date01/06/2011
Reason abandoned (if study stopped)Objectives no longer viable

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit2 Years
Upper age limit8 Years
SexBoth
Target number of participants25
Key inclusion criteriaChildren aged 2 to 8 years undergoing routine surgery including ear, nose and throat (ENT), orthopaedic, urological and general
Key exclusion criteria1. Previous allergic reaction to nonsteriodal anti-inflammatory drugs (NSAIDs)
2. Known bleeding tendency
3. Administration of a NSAID within the past 24 hours
4. History of liver disease, abnormal renal function and gastrointestinal bleeding
5. Children with special needs in view of consent issues
Date of first enrolment01/06/2010
Date of final enrolment01/06/2011

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Royal Manchester Children's Hospital
Manchetser
M13 9WL
United Kingdom

Sponsor information

Central Manchester Foundation Trust (CMFT) (UK)
Hospital/treatment centre

CMFT Headquarters
Oxford Road
Manchester
M13 9WL
England
United Kingdom

ROR logo "ROR" https://ror.org/00he80998

Funders

Funder type

Industry

TherabelPharma NV (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

29/06/2017: The trial was stopped as the product under investigation was withdrawn from the UK market on 21/05/2010.