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Trial · NCT03472469

MAST Trial: Multi-modal Analgesic Strategies in Trauma

NCT03472469, Phase 4, Completed, The University of Texas Health Science Center, Houston; results first posted 2021-06-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. MAST Trial: Multi-modal Analgesic Strategies in Trauma. Trials, record NCT03472469. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03472469

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
MAST Trial: Multi-modal Analgesic Strategies in Trauma
NCT number
NCT03472469
Status
Completed
Phases
Phase 4
Enrollment
1,561 participants, actual
Lead sponsor
The University of Texas Health Science Center, Houston
Conditions
Nonspecific Pain Post Traumatic Injury
Interventions
Acetaminophen IV/PO, Acetaminophen PO, Ketorolac, Celebrex, Naproxen, Tramadol, Pregabalin, Gabapentin, Lidocaine, Opioids, Regional anesthesia
First posted
2018-03-21
Last updated
2021-06-18
Results first posted
2021-06-10

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOpioid Use Per Dayuntil discharge from hospital or 30 days post admission (whichever is sooner)Opioid use per day is calculated by tallying the dose equivalency of all opioids received and dividing by the number of days hospitalized. Morphine milligram equivalents (MME) per day are reported.
SecondaryPain as Assessed by Score on the Numeric Rating Scale (NRS)until discharge from hospital or 30 days post admission (whichever is sooner)An average will be calculated of the daily numeric rating scale (NRS) for pain (0=no pain, 10=worst pain). This assessment is used in verbal participants.
SecondaryPain as Assessed by Score on the Behavioral Pain Scale (BPS)until discharge from hospital or 30 days post admission (whichever is sooner)
An average will be calculated of the daily score on the Behavioral Pain Scale (BPS). BPS score ranges from 3-12, with higher scores indicating worse pain. This assessment is used in non-verbal participants.
SecondaryNumber of Participants Discharged From the Hospital With an Opioid PrescriptionUp to 30 days
SecondaryNumber of Participants With Any Opioid-related Complicationsuntil discharge from hospital or 30 days post admission (whichever is sooner)Opioid-related complications include ileus, aspiration, unplanned intubation, unplanned admission to an intensive care unit, and use of an opioid-reversal agent.
SecondaryOverall Costsuntil discharge from hospital or 30 days post admission (whichever is sooner)the costs associated with the overall hospitalization or the first 30 days (whichever is sooner) related to post trauma care and complications incurred.
SecondaryPharmacy Costsuntil discharge from hospital or 30 days post admission (whichever is sooner)The costs of the pain medications given during the specified time period.
SecondaryNumber of Ventilator Days30 days
The number of days the patient on a ventilator post injury or up to 30 days (whichever is sooner). Zero-inflated models are presented as estimated marginal means (95% Credible Interval). The data reported as "mean" actually refers to "marginal mean," and the data reported as "95% Confidence Interval" actually refers to a "95% Credible Interval."
SecondaryNumber of Hospital Days30 days
The number of days the patient was hospitalized post injury or up to 30 days (whichever is sooner). Zero-inflated models are presented as estimated marginal means (95% Credible Interval). The data reported as "mean" actually refers to "marginal mean," and the data reported as "95% Confidence Interval" actually refers to a "95% Credible Interval."
SecondaryNumber of Intensive Care Unti (ICU) Days30 days
The number of days the patient was in the ICU post injury or up to 30 days (whichever is sooner). Zero-inflated models are presented as estimated marginal means (95% Credible Interval). The data reported as "mean" actually refers to "marginal mean," and the data reported as "95% Confidence Interval" actually refers to a "95% Credible Interval."

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOpioid Use Per Dayuntil discharge from hospital or 30 days post admission (whichever is sooner)MME per dayMEDIAN
SECONDARYPain as Assessed by Score on the Numeric Rating Scale (NRS)until discharge from hospital or 30 days post admission (whichever is sooner)This data was only collected from 739 in the Original MMPR arm and 735 in the MAST MMPR arm.units on a scaleMEDIAN
SECONDARYPain as Assessed by Score on the Behavioral Pain Scale (BPS)until discharge from hospital or 30 days post admission (whichever is sooner)This data was only collected from 156 in the Original MMPR arm and 150 in the MAST MMPR arm.score on a scaleMEDIAN
SECONDARYNumber of Participants Discharged From the Hospital With an Opioid PrescriptionUp to 30 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Any Opioid-related Complicationsuntil discharge from hospital or 30 days post admission (whichever is sooner)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYOverall Costsuntil discharge from hospital or 30 days post admission (whichever is sooner)dollarsMEDIAN
SECONDARYPharmacy Costsuntil discharge from hospital or 30 days post admission (whichever is sooner)dollarsMEDIAN
SECONDARYNumber of Ventilator Days30 daysventilator daysMEAN
SECONDARYNumber of Hospital Days30 dayshospital daysMEAN
SECONDARYNumber of Intensive Care Unti (ICU) Days30 daysICU daysMEAN

Results by group28

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Opioid Use Per DayOriginal MMPR - Descending Dose Arm48Inter-Quartile Range 22 to 74MME per day
Opioid Use Per DayMAST MMPR - Escalating Dose Arm34Inter-Quartile Range 15 to 61MME per day
Pain as Assessed by Score on the Numeric Rating Scale (NRS)Original MMPR - Descending Dose Arm3.3Inter-Quartile Range 1.8 to 4.8units on a scale
Pain as Assessed by Score on the Numeric Rating Scale (NRS)MAST MMPR - Escalating Dose Arm3.3Inter-Quartile Range 1.8 to 4.7units on a scale
Pain as Assessed by Score on the Behavioral Pain Scale (BPS)Original MMPR - Descending Dose Arm2.5Inter-Quartile Range 2.1 to 3.0score on a scale
Pain as Assessed by Score on the Behavioral Pain Scale (BPS)MAST MMPR - Escalating Dose Arm2.3Inter-Quartile Range 1.8 to 3.0score on a scale
Number of Participants Discharged From the Hospital With an Opioid PrescriptionOriginal MMPR - Descending Dose Arm527Participants
Number of Participants Discharged From the Hospital With an Opioid PrescriptionMAST MMPR - Escalating Dose Arm476Participants
Number of Participants With Any Opioid-related ComplicationsOriginal MMPR - Descending Dose ArmUnplanned intubation16Participants
Number of Participants With Any Opioid-related ComplicationsMAST MMPR - Escalating Dose ArmUnplanned intubation16Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOriginal MMPR - Descending Dose Arm787
Overall StudySTARTEDMAST MMPR - Escalating Dose Arm774
Overall StudyCOMPLETEDOriginal MMPR - Descending Dose Arm787
Overall StudyCOMPLETEDMAST MMPR - Escalating Dose Arm774
Overall StudyNOT COMPLETEDOriginal MMPR - Descending Dose Arm0
Overall StudyNOT COMPLETEDMAST MMPR - Escalating Dose Arm0

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousDeathGeneral disordersOriginal MMPR - Descending Dose Arm29787787
seriousDeathGeneral disordersMAST MMPR - Escalating Dose Arm36774774

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOriginal MMPR - Descending Dose Arm29787
Total, all-cause mortalityMAST MMPR - Escalating Dose Arm36774
Total, other adverse eventsOriginal MMPR - Descending Dose Arm0787
Total, other adverse eventsMAST MMPR - Escalating Dose Arm0774
Total, serious adverse eventsOriginal MMPR - Descending Dose Arm29787
Total, serious adverse eventsMAST MMPR - Escalating Dose Arm36774

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30206549BACKGROUNDPubMed
33486130RESULTPubMed

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
KL2TR000370Center for Clinical and Translational Sciences (CCTS)MCPHERSON, DAVID DUNIVERSITY OF TEXAS HLTH SCI CTR HOUSTONNATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES2012 to 2016NIH RePORTER
UL1TR000371Center for Clinical and Translational Sciences (CCTS)MCPHERSON, DAVID DUNIVERSITY OF TEXAS HLTH SCI CTR HOUSTONNATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES2012 to 2016NIH RePORTER

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Original MMPR - Descending Dose Arm vs MAST MMPR - Escalating Dose Arm: Number of Participants Discharged From the Hospital With an Opioid PrescriptionTrial comparisons
Original MMPR - Descending Dose Arm vs MAST MMPR - Escalating Dose Arm: deaths from any causeTrial comparisons
Original MMPR - Descending Dose Arm vs MAST MMPR - Escalating Dose Arm: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
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
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03472469

GET https://conductscience.org/api/trials/v1/NCT03472469/results?page=2