Breathing in pain relief: inhaled morphine may offer faster ER treatment
NCT ID NCT03257319
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether breathing in morphine works as well as getting it through an IV for quickly treating severe pain in the emergency department. 226 adults with intense pain were randomly assigned to receive either inhaled morphine plus a placebo IV, or IV morphine plus a placebo inhaler. The main goal was to see how many patients had significant pain relief within one hour.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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226 people
The number who actually took part.
- Started
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Sep 2017
- Finished
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Jul 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 and \<75 years old; * EVA ≥ 70/100 or EN ≥ 7/10; * Patient who received clear information from the investigator and read and signed the consent form; * Patient affiliated with, or beneficiary of a social security category; * For women: O of childbearing age: effective contraception (oral contraception, intrauterine device or use of condoms) O menopausal status (amenorrhoea less than 12 months before the inclusion visit) O objectivized sterility (diagnosis or surgically) Exclusion Criteria: * Chronic pain (\> 3 months) * Taking opioids longer than 10 days (including "weak" opioids tramadol and / or codeine); * Taking Rifampicin; * Impaired ability to discern, cognitive impairment; * Morphine-related contraindications: O Obstructive chronic obstructive or restrictive respiratory failure known or suspected compensated or not, O Hypersensitivity to the active substance or to any of the excipients, O Severe hepatocellular insufficiency (known or suspected), O Chronic renal failure known or suspected, O Uncontrolled epilepsy, O Cranial trauma (intracranial hypertension), O Associations with buprenorphine, nalbuphine, pentazocine and naltrexone * Active drug history or practice (s); * Evidence of reduced fracture or dislocation in emergency rooms; * Suspected occlusive syndrome * SaO2 \<95%; * FR \<12 / min; * Glasgow \<15 or other alertness disorders; * HR heart rate \<50 bpm and / or Auriculo-Ventricular block (PR XML File Identifier: zR6XOYKSEQ9GjQHghP8c465EwF0= Page 15/30 interval\> 200 ms); * Arterial hypotension with systolic blood pressure TA syst \<100 mm Hg; * Pregnant or nursing * Persons deprived of their liberty by an administrative or judicial decision, a person placed under the safeguard of justice, guardianship; * Patients with poor comprehension of spoken or written French; * Patients participating in another interventional clinical study; * Contra-indication related to the use of saline solution * Contra-indications related to the use of aerosol: O Necessity to access the face O Allergy known to plastic
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AP-HP
Bobigny, France
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CH Agen-Nérac
Agen, France
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CH Eure Seine Hôpital d'Evreux
Évreux, France
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CH Le Mans
Le Mans, France
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CHI Robert Ballanger
Aulnay-sous-Bois, France
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CHRU de Lille
Lille, France
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CHU Gabriel Montpied
Clermont-Ferrand, France
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CHU Grenoble
Grenoble, France
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CHU Hôpitaux BORDEAUX
Bordeaux, France
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CHU Nice
Nice, France
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CHU de Caen
Caen, France
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CHU-Hôpitaux de Rouen
Rouen, 76031, France
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Chu Strasbourg
Strasbourg, France
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GH Le Havre
Le Havre, France
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Hopital COCHIN
Paris, France
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Hospices civils de Lyon
Lyon, France
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Hôpital Bichat-Claude Bernard
Saint-Ouen, France
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Hôpital Lariboisière
Paris, France
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La Pitié Salpétrière
Paris, France
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chu de Toulouse
Toulouse, France
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Other studies related to the condition(s) this trial covers.
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