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Renal ColicNCT05150899

Role of Antihistaminic in Acute Renal Colic Prevent Pain Recurrence and Expulsion of Ureteric Stone ≤ 1cm

An observational study of Renal Colic and Ureter Stone, run by Assiut University.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Urolithiasis is one of the most common urological diseases. The risk of stone disease ranges between 5% and 12% worldwide. Ureteric stones account for ≈20% of all urinary tract stones and >70% of the ureteric stones are located in the lower third of the ureter, i.e., distal ureteric stones (DUS). Read more about this study

Who is it for?
Ages 18 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Renal Colic, Ureter Stone
What is being tested?
Tamsulosin Hcl 0.4Mg Cap and fexofenadine 180 mg Oral tablet
How many people
100 participants
Where
No sites listed yet
Study dates
30 Nov 2021to 25 Nov 2022
How long will I take part?
3 Weeks
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: All cases that fulfil the selection criteria that will be followed up in the department of Assiut university hospital (non-probability sample size) with Confidence Level 90 %, Population Size 10000, Margin of Error 8 % with expected size of 100 patients enrolled in the study. these patients were randomly divided into 2 groups 50 in each group.

Who may be able to join

  • Age from 14 to 70 years old.
  • Patient with ureteric stone 5-10 MM.
  • Patient with acute renal colic presented to emergency with obstructed kidney with urgent MSCT show stone ureter 5-10 MM and patient come without colic with CT showing lower third stone of the same measurement.

Who cannot join

  • Age less than 14 or more than 70.
  • Chronically diseased patient cardiac that contraindicated to take PD5I or tamsulosin.
  • Only functioning kidney.
  • CKD Patient.
  • Bilateral ureteric stone.
  • urinary tract infection.
Show all 14Show fewer
  • severe refractory pain.
  • severe hydronephrosis.
  • multiple ureteric stones.
  • ischemic heart disease, congestive cardiac failure, or complicated hypertension.
  • pregnant or lactating mothers.
  • patient refuse medical treatment.
  • congenital anomalies.
  • previous ureteric surgery.

Trial locations and contacts

No sites are listed yet.

About this study

Official title: Comparative Study Between Use of Alpha Blocker Versus Alpha Blocker and Antihistaminic in Management of Acute Renal Colic Prevent Pain Recurrence and Increase Expulsion Rate of Ureteric Stone ≤ 1cm

Urolithiasis is one of the most common urological diseases. The risk of stone disease ranges between 5% and 12% worldwide. Ureteric stones account for ≈20% of all urinary tract stones and >70% of the ureteric stones are located in the lower third of the ureter, i.e., distal ureteric stones (DUS). The colicky-type pain in the ureter, an increase in proximal peristalsis through activation of intrinsic ureteral pacemakers may contribute to the perception of pain. Muscle spasm increased proximal peristalsis, local inflammation, irritation, and oedema at the site of obstruction may contribute to the development of pain through chemoreceptor activation and stretching of submucosal free nerve endings. α-adrenergic blockers, anti-inflammatory drugs, antihistaminic and calcium channel blockers, which have a relaxant effect on the ureteric smooth musculature. The presence of histamine receptors in the ureter have been presented in various studies. The histamine-1 (H1) receptors have been shown to have a wide distribution Histamine, which is secreted from the mast cells, causes strong peristaltic contractions in the ureter. alpha adrenoreceptor antagonists (i.e., tamsulosin) have been employed in the treatment of ureteric colic due to smooth muscle relaxation so their potential ability to increase stone passage, reduce pain medication use and reduce urologic interventions. According to the currently accepted view, renal colic management starts with NSAI drugs also NSAI has role in decrease inflammation and oedema and increase expulsion rate . in this study we will compare the use of alpha blocker versus alpha blocker and antihistaminic in management of acute renal colic prevent pain recurrence and increase expulsion rate of ureteric stone ≤ 1cm, with analgesic use in case of acute stage.

Read the detailed description

All the patients will be included within inclusion criteria After providing written informed consent, these patients were randomly divided into 2 groups by use of a computer-generated random number table.

  1. history taken about patient pain onset, duration and type with scoring the pain by World Health Organization numerical pain score of 0-10.
  2. Ultrasonography done to determine if kidney obstructed and grade of obstruction at the day 1 day 15 and day 30.
  3. group A receive Tamsulosin 0.4mg in combination of NSAI drug if patient present with colic, if not in renal colic at bed time Tamsulosin 0.4mg with analgesic on demand, group B receive pheniramine maleate 50mg injection every 12hr for 24 hr in combination of Tamsulosin 0.4mg and NSAI drug then fexofenadine 180 mg in combination of Tamsulosin 0.4mg and NSAI drug on demand if patient present with colic. if not in renal colic at bed time fexofenadine 180 mg in combination of Tamsulosin with NSAI on demand.
  4. In case of patient presented by acute renal colic the time of administration of treatment recorded and the time of relief pain recorded.
  5. CT scan done to ensure urolithiases if no CT done at the first day and after 30 days.
  6. Full labs done especially serum creatinine and serum uric acid.
Being tested
Tamsulosin Hcl 0.4Mg Cap, fexofenadine 180 mg Oral tablet
Medical subject headings
Renal Colic, Ureterolithiasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tamsulosin Hcl 0.4Mg CapDrug

    Also called tamsule

    alpha blocker

  • fexofenadine 180 mg Oral tabletDrug

    Also called telefast

    antihistaminic

Study groups in NCT05150899
Study groupRoleWhat they receive
Tamsulosin 0.4mggroup A receive Tamsulosin 0.4mg in combination of NSAI drug if patient present with colic, if not in renal colic at bed time Tamsulosin 0.4mg with analgesic on demand.
Receives: Drug: Tamsulosin Hcl 0.4Mg Cap
fexofenadine 180 mg in combination of Tamsulosin 0.4mggroup B receive pheniramine maleate 50mg injection every 12hr for 24 hr in combination of Tamsulosin 0.4mg and NSAI drug then fexofenadine 180 mg in combination of Tamsulosin 0.4mg and NSAI drug on demand if patient present with colic. if not in renal colic at bed time fexofenadine 180 mg in combination of Tamsulosin with NSAI on demand.
Receives: Drug: Tamsulosin Hcl 0.4Mg Cap; Drug: fexofenadine 180 mg Oral tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Success rate of each treatment in case of patient presented with acute renal colic

    (% of patients show relief of the pain).

    Measured: 3 weeks

  2. Duration of relieve of the symptoms

    relieve of renal colic

    Measured: in 24 hours

  3. Rate of recurrence of pain and if need analgesic

    how many times pain come again

    Measured: 3 weeks

  4. Numbers of patients showing expulsion of stone

    how many people stone expulsed during treatment

    Measured: 3 weeks

  5. Number of patients underwent URS and duration taken from start of treatment

    patient with persistent pain

    Measured: 3 weeks

  6. Rate of complication from treatment

    any side effect from treatment

    Measured: 3 weeks

  7. Rate of hospital admission and number of admissions.

    due to persistent pain

    Measured: 3 weeks

  8. Rate of drop out from the study due to complication or noncompliance.

    patient exit from study

    Measured: 3 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Dec 2021
  2. Study start30 Nov 2021 (estimated)
  3. Primary completion25 Nov 2022 (estimated)
  4. Study completion25 Nov 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
100 participants (estimated)
Target duration
3 Weeks
IDs, dates and publications
ClinicalTrials.gov ID
NCT05150899
Sponsor's protocol ID
antihistaminic in renal colic
Status last verified
Dec 2021
First submitted
26 Nov 2021
Last updated
9 Dec 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Bader MJ, Eisner B, Porpiglia F, Preminger GM, Tiselius HG. Contemporary management of ureteral stones. Eur Urol. 2012 Apr;61(4):764-72. doi: 10.1016/j.eururo.2012.01.009. Epub 2012 Jan 14.

    PubMed 22266271
  • Coll DM, Varanelli MJ, Smith RC. Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT. AJR Am J Roentgenol. 2002 Jan;178(1):101-3. doi: 10.2214/ajr.178.1.1780101.

    PubMed 11756098
  • Hollingsworth JM, Rogers MA, Kaufman SR, Bradford TJ, Saint S, Wei JT, Hollenbeck BK. Medical therapy to facilitate urinary stone passage: a meta-analysis. Lancet. 2006 Sep 30;368(9542):1171-9. doi: 10.1016/S0140-6736(06)69474-9.

    PubMed 17011944
  • Giuliano F, Uckert S, Maggi M, Birder L, Kissel J, Viktrup L. The mechanism of action of phosphodiesterase type 5 inhibitors in the treatment of lower urinary tract symptoms related to benign prostatic hyperplasia. Eur Urol. 2013 Mar;63(3):506-16. doi: 10.1016/j.eururo.2012.09.006. Epub 2012 Sep 11.

    PubMed 23018163
  • Gratzke C, Uckert S, Kedia G, Reich O, Schlenker B, Seitz M, Becker AJ, Stief CG. In vitro effects of PDE5 inhibitors sildenafil, vardenafil and tadalafil on isolated human ureteral smooth muscle: a basic research approach. Urol Res. 2007 Feb;35(1):49-54. doi: 10.1007/s00240-006-0073-1. Epub 2006 Nov 11.

    PubMed 17102958
  • Kumar S, Jayant K, Agrawal MM, Singh SK, Agrawal S, Parmar KM. Role of tamsulosin, tadalafil, and silodosin as the medical expulsive therapy in lower ureteric stone: a randomized trial (a pilot study). Urology. 2015 Jan;85(1):59-63. doi: 10.1016/j.urology.2014.09.022.

    PubMed 25530364
  • Ugaily-Thulesius L, Thulesius O. The effects of urine on mast cells and smooth muscle of the human ureter. Urol Res. 1988;16(6):441-7. doi: 10.1007/BF00280026.

    PubMed 2466358
  • Hollingsworth JM, Canales BK, Rogers MA, Sukumar S, Yan P, Kuntz GM, Dahm P. Alpha blockers for treatment of ureteric stones: systematic review and meta-analysis. BMJ. 2016 Dec 1;355:i6112. doi: 10.1136/bmj.i6112.

    PubMed 27908918
  • Shokeir AA. Renal colic: new concepts related to pathophysiology, diagnosis and treatment. Curr Opin Urol. 2002 Jul;12(4):263-9. doi: 10.1097/00042307-200207000-00001.

    PubMed 12072644

Questions about this trial

What is this clinical trial studying?

An observational study of Renal Colic and Ureter Stone, run by Assiut University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 9 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact adel kurkar, MD (01098197880, adel.abdelmouteleb@med.aun.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Success rate of each treatment in case of patient presented with acute renal colic (time frame: 3 weeks). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05150899, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2021.

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