Safety and Activity Study of Intrathecally Administered Ziconotide for Neuropathic Pain in Patients With Cancer

NCT ID: NCT00996983

Last Updated: 2023-03-24

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2024-12-31

Brief Summary

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Neuropathic pain is difficult to control because it is only partially sensitive to opioid analgesics, and requires the addition of other therapies such as antidepressants and epileptics. Ziconotide is a drug that is used to treat neuropathic pain in patients who have had inadequate pain control with prior combination of medicines.

Detailed Description

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The purpose of this study is to evaluate the effects and the tolerability of intrathecal ziconotide in cancer patients suffering from severe neuropathic pain not controlled by previous therapies.

Conditions

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Pain Neuropathic Pain Intractable Pain Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Group Type EXPERIMENTAL

ziconotide

Intervention Type DRUG

intrathecal ziconotide starting at 2.4 micrograms/day, with titration daily to achieve adequate pain control up to maximum dose of 21.6 micrograms/day

Interventions

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ziconotide

intrathecal ziconotide starting at 2.4 micrograms/day, with titration daily to achieve adequate pain control up to maximum dose of 21.6 micrograms/day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of neoplasm
* Neuropathic pain level VASPI \> or = 6 (0-10 scale)
* Inadequate pain relief with opioid analgesics and adjuvants
* Age \> or = 18 years
* Performance status ECOG 0-2
* Life expectancy at least one month
* Adequate contraception in women of child-bearing potential
* Signed Informed Consent

Exclusion Criteria

* Use of experimental drugs within previous 30 days
* Pregnancy or lactation
* Contraindication to the use of intrathecal analgesics, including active infection or conditions that could alter the circulation of cerebrospinal fluid
* Presence of cerebral metastasis
* INR \> 2
* Contraindication to the use of ziconotide
* Unable or unwilling to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arturo Cuomo, M.D.

Role: PRINCIPAL_INVESTIGATOR

NCI Naples, Division of Pain Therapy

Gennaro Russo, M.D.

Role: PRINCIPAL_INVESTIGATOR

NCI Naples, Division of Pain Therapy

Alessandro Morabito, M.D.

Role: PRINCIPAL_INVESTIGATOR

NCI Naples, Clinical Trials Unit

Locations

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Istituto Nazionale dei Tumori , Unita Terapia Antalgica

Napoli, , Italy

Site Status

Countries

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Italy

Other Identifiers

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EudraCT number: 2008-005307-26

Identifier Type: -

Identifier Source: secondary_id

ZIDON

Identifier Type: -

Identifier Source: org_study_id

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