Topical Morphine for Stomatitis-related Pain Induced by Chemotherapy

NCT ID: NCT00357942

Last Updated: 2014-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2014-01-31

Brief Summary

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Stomatitis/oral mucositis is a common side effect to chemotherapy. Stomatitis is often associated with painful ulcers in the mouth. The study hypothesis is that morphine administrated as a mouthwash can relieve stomatitis-related pain by a local analgesic effect.

The purpose of this study is to test the analgesic effect of a morphine mouthwash versus morphine injections or placebo (no active drug) in children/adolescents with stomatitis related to chemotherapy. Besides the investigational drugs (morphine mouthwash and morphine injections) the children/adolescents receive a standardized analgesic treatment for stomatitis-related pain.

Detailed Description

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Conditions

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Pain Mucositis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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C group I

Morphine mouthwash and placebo i.v.(24 hours) Added on standard analgesic treatment (paracetamol and patient controlled analgesia, morphine)

Group Type EXPERIMENTAL

morphine mouthwash

Intervention Type DRUG

morphine mouthwash 2 mg/ml, 50 microg/kg bodyweight every 3 hour for 24 hours and placebo solution for injection

Placebo

Intervention Type DRUG

Placebo solution for injection every 3 hour for 24 hours

C group II

Placebo mouthwash and morphine i.v.(24 hours) Added on standard analgesic treatment (paracetamol and patient controlled analgesia, morphine)

Group Type ACTIVE_COMPARATOR

morphine solution for injection

Intervention Type DRUG

morphine solution for injection 2 mg/ml, 50 microg/kg bodyweight, every 3 hour for 24 hours and placebo mouthwash

Placebo

Intervention Type DRUG

Placebo mouthwash

C group III

Placebo mouthwash and placebo i.v. (24 hours) Added on standard analgesic treatment (paracetamol and patient controlled analgesia, morphine)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo mouthwash

Placebo

Intervention Type DRUG

Placebo solution for injection every 3 hour for 24 hours

Interventions

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morphine solution for injection

morphine solution for injection 2 mg/ml, 50 microg/kg bodyweight, every 3 hour for 24 hours and placebo mouthwash

Intervention Type DRUG

Placebo

Placebo mouthwash

Intervention Type DRUG

morphine mouthwash

morphine mouthwash 2 mg/ml, 50 microg/kg bodyweight every 3 hour for 24 hours and placebo solution for injection

Intervention Type DRUG

Placebo

Placebo solution for injection every 3 hour for 24 hours

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children and adolescents at The Juliane Marie Center at Copenhagen University Hospital (Rigshospitalet, Denmark) or at The University Hospital in Lund (Sweden)
* Receiving chemotherapy in relation to a cancer disease
* Pain score of minimum 3 (VAS-scale) at rest for mouth pain in combination with stomatitis of minimum grade 1 (WHO-scale) or a pain score of minimum 5 (VAS-scale) at activity for mouth pain in combination with stomatitis of minimum grade 1 (WHO-scale)
* Negative pregnancy test, when relevant (judged by physician)
* Patients and/or parents understand and speak danish (Denmark) / swedish (Sweden)
* Signed informed consent

Exclusion Criteria

* Allergic to the investigational medical product
* Alcohol or drug abuse
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Copenhagen University Hospital, Denmark

OTHER

Sponsor Role collaborator

Danish University of Pharmaceutical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Bettina Nygaard Nielsen

M.Sc. Pharm, sponsor contact person

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bettina N Nielsen, PhD student M.Sc.Pharm

Role: STUDY_CHAIR

Faculty of Pharmaceutical Sciences, University of Copenhagen

Locations

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The Juliane Marie Center, Copenhagen University Hospital (Rigshospitalet)

Copenhagen, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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2006-003260-53

Identifier Type: -

Identifier Source: secondary_id

2006-003260-53

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

102010

Identifier Type: -

Identifier Source: org_study_id

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