“Study of pain syndrome and clinical-biochemical parameters in children aged 7 to 18 years in cases of non-surgical treatment of uncomplicated acute appendicitis”

2025-520964-16-00 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 120
Countries 1
Sites 1

uncomplicated acute appendicitis

To perform a study of pain syndrome and clinical-biochemical parameters in 7 to 18 years old children with uncomplicated acute appendicitis in non-surgical treatment and develop an analgesic algorithm based on the obtained data.

Key facts

Sponsor
Riga Stradins University
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2025-520964-16-00
EudraCT number
2021-001400-16

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To perform a study of pain syndrome and clinical-biochemical
parameters in 7 to 18 years old children with uncomplicated acute
appendicitis in non-surgical treatment and develop an analgesic
algorithm based on the obtained data.

Conditions and MedDRA coding

uncomplicated acute appendicitis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 7 to 18 years old children with first time diagnosed uncomplicated acute appendicitis who received non-surgical treatment.

Exclusion criteria 1

  1. Psychomotor retardation of any degree; Any inherited or acquired immunodeficiency; Any abdominal surgery in medical history; Neurological deficit of any degree; Any endocrine disease; NSAID use within 3 hours; Chronic pain requiring daily analgesic use; History of gastrointestinal bleeding, peptic or duodenal ulcer disease or inflammatory bowel disease, coagulation disorders, prior cerebrovascular bleeding, known arterio-vascular malformations; History of chronic and active renal disease, excluding renal calculi and urinary tract infections; History of chronic and active hepatocellular disease (excludes biliary stones, cholangitis or biliary duct pathology); Known hypersensitivity to ketorolac (or it's component) or other NSAID; Absence of a parent/guardian for children who are < 14 years in age.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of patients consented from total approached; Number of patients who completed pain assessment and treatment at all time points (totally for 3 days (72 hours));

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

KETOROLAC-GRINDEKS 30 mg/ml šķīdums injekcijām

PRD320581 · Product

Active substance
Ketorolac Trometamol
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
15 mg milligram(s)
Max total dose
90 mg milligram(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
M01AB15 — KETOROLAC
Marketing authorisation
07-0240
MA holder
GRINDEKS
MA country
Latvia
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Riga Stradins University

2 Total trials
Academic / Non-commercial
Sponsor organisation
Riga Stradins University
Address
Dzirciema Iela 16
City
Riga
Postcode
1007
Country
Latvia

Scientific contact point

Organisation
Riga Stradins University
Contact name
BKUS

Public contact point

Organisation
Riga Stradins University
Contact name
BKUS

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Latvia Authorised, recruitment pending 120 1
Rest of world 0

Investigational sites

Latvia

1 site · Authorised, recruitment pending
Bernu Kliniska Universitates Slimnica VSIA
Surgery, Zemgales Priekspilseta, Vienibas Gatve 45, Riga

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protokols11 1
Recruitment arrangements (for publication) Not applicable for transition trials 1
Subject information and informed consent form (for publication) JBormotovs_petijuma_piekrisanas_forma_lab 1
Summary of Product Characteristics (SmPC) (for publication) 2006050321_08-06-2023 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-30 Latvia Acceptable
2025-01-30
2025-01-30