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Comparison · NCT03933397-sae

Patient-Specific Protocol vs Weight-based Protocol: serious adverse events

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

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ConductScience Library. Patient-Specific Protocol vs Weight-based Protocol: serious adverse events. Trial comparisons, record NCT03933397-sae. Release trial-comparisons-2026-03-23-0.1.0, 23 Mar 2026. https://conductscience.org/library/comparisons/NCT03933397-sae

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Measures6

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

MeasureValue95% interval, lower95% interval, upperMethodNote
Risk in group 100.000000000000000006940.0713wilson
Risk in group 2000.0771wilson
Risk difference, group 1 minus group 20-0.07710.0713newcombe hybrid score
Risk ratio, group 1 over group 2loga group has no participants with the outcome
Odds ratio, group 1 over group 2loga cell of the two-by-two table is zero
Number needed to harmfrom the risk difference intervalthe two groups' risks are equal

Groups2

Neither group, or both, names a comparator, so the groups keep ClinicalTrials.gov's order.

GroupTitleDescriptionWith the outcomeAnalysedClinicalTrials.gov code
Group 1Patient-Specific Protocol
Patients assigned to this treatment protocol will be given pain medicine(s) based on pain medicine(s) taken at home \& what was needed during past emergency department visits to treat pain. Medicines include opioids, morphine or hydromorphone. A member of the outpatient provider team reviews patient's medical record to determine patient's maximum home opioid dose, previous ED analgesic medication(s) \& doses that have been effective \& safe in the past. Patient's regular hematologist/sickle cell team will write the treatment plans.~Medications will be given every 20-30 minutes for up to 6 hours. Morphine: 4 mg for participants weighing \<50 kgs, 6mg for participants weighing 50-69.9 kgs, 8mg for participants weighing 70 - 89.9 kgs and 10mg for participants weighing \> or equal to 90 kgs. Re-dosing is every 20-30 minutes up to 6 hours with one possible dose escalation of 25%.~Hydromorphone: 1 mg for participants weighing \<60 kgs, 1.5 mg for participants weighing 60 - 89.9 kgs, and 2 mg for participants weighing \> or equal to 90 kgs. Re-dosing is every 20-30 minutes up to 6 hours with one possible dose escalation of 25%.~There are only two, not four, randomized interventions in this trial: patient specific pain management protocol and weight-based pain management protocol. Here the word protocol refers to pain management approach. The AEs have been submitted by each of these two interventions.
050EG000
Group 2Weight-based Protocol
Patients assigned to this treatment protocol will be given pain medicine(s) based on their weight.~Weight-based Protocol: Patients assigned to this treatment protocol will be given pain medicine(s) based on their weight. Medicines will include opioids, either morphine or hydromorphone. Plans will be written by the patients regular hematologist/sickle cell team.~Morphine: 4 mg for participants weighing \<50 kgs, 6mg for participants weighing 50-69.9 kgs, 8mg for participants weighing 70 - 89.9 kgs and 10mg for participants weighing greater than or equal to 90 kgs. dose is given. Re-dosing is every 20-30 minutes up to 6 hours with one possible dose escalation of 25%.~Hydromorphone: 1 mg for participants weighing \<60 kgs, 1.5 mg for participants weighing 60 - 89.9 kgs, and 2 mg for participants weighing greater than or equal to 90 kgs. dose is given. Re-dosing is every 20-30 minutes up to 6 hours with one possible dose escalation of 25%.~There are only two, not four, randomized interventions in this trial: patient specific pain management protocol and weight-based pain management protocol. Here the word protocol refers to pain management approach. The AEs have been submitted by each of these two interventions.
046EG001

Harm

What it counts
Total, serious adverse events
Time frame
From enrollment in the emergency department through 7 days post enrollment for up to 8 days.

Source ClinicalTrials.gov

Trial

Title
Comparing Individualized vs. Weight Based Protocols to Treat Vaso-Occlusive Episodes in Sickle Cell Disease
NCT number
NCT03933397
Phases
PHASE3
Conditions
Sickle Cell Disease
Interventions
Patient-Specific Protocol, Weight-based Protocol, Morphine, Hydromorphone
Lead sponsor
Duke University
Results first posted
2023-07-03

Source ClinicalTrials.gov

Source

Release
trial-comparisons-2026-03-23-0.1.0
Release manifest SHA-256
f66225897fbf258b57ea10bdacfd0347d3cdfda93f7f5685234b7e06ea36fa57
AACT copy
2026-03-23
Tables read
outcome_counts.parquet, outcome_measurements.parquet, outcomes.parquet, reported_event_totals.parquet, reported_events.parquet, result_groups.parquet, studies.parquet, ctgov_trial.parquet

Source ClinicalTrials.gov

Sources 2

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions. The measures are ConductScience's calculation from them.

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