Morphine Mouthwash for Management of Oral Mucositis in Patients With Head and Neck Cancer

NCT ID: NCT01837446

Last Updated: 2013-04-23

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

PHASE2/PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-10-31

Brief Summary

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Oral mucositis is a debilitating side effects of cancer treatment for which there is not much successful treatments at yet. The investigators are going to evaluate the effectiveness of topical morphine compared with a routine mouthwash in managing cancer treatment-induced mucositis. The investigators hypothesize that topical morphine is more effective and more satisfied by patients than the magic mouthwash in reducing severity of cancer treatment-induced oral mucositis.

Detailed Description

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Conditions

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Stomatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Morphine mouthwash

The morphine group uses the mouthwash of 2% morphine solution (20 mg morphine sulfate diluted in 100 mL of water), 10 mL every three hours; six times a day. The morphine solution is prepared by the faculty of pharmacy under supervision of the Food and Drug Organization of the local Medical University.

Group Type EXPERIMENTAL

2% morphine solution

Intervention Type DRUG

Magic mouthwash

The magic group uses a mouthwash contained a mixture of 240 mL magnesium aluminum hydroxide (Alborz Co., Iran), 25 mL 2% viscous lidocaine (SinaDaru Co., Iran), and 60 mL diphenhydramine (Emad Co., Iran), 10 mL every three hours; six times a day.

Group Type ACTIVE_COMPARATOR

Magnesium aluminum hydroxide

Intervention Type DRUG

2% viscous lidocaine

Intervention Type DRUG

Diphenhydramine

Intervention Type DRUG

Interventions

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2% morphine solution

Intervention Type DRUG

Magnesium aluminum hydroxide

Intervention Type DRUG

2% viscous lidocaine

Intervention Type DRUG

Diphenhydramine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Head and neck cancer patients
* Severe oral mucositis; grade III or IV of the World Health Organization (WHO) rating of global mucositis
* Willingness to participate

Exclusion Criteria

* History of severe renal or hepatic insufficiency
* Collagen-vascular disease
* Allergic reaction to morphine
* Current smokers or alcohol users
* Pregnant women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Isfahan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Dr. Simin Hemati

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Simin Hemati, MD

Role: PRINCIPAL_INVESTIGATOR

Isfahan University of Medical Sciences

Locations

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Radiation Oncology Department, Seyed Al-Shohada Hospital

Isfahan, Isfahan, Iran

Site Status

Countries

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Iran

References

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Cerchietti LC, Navigante AH, Bonomi MR, Zaderajko MA, Menendez PR, Pogany CE, Roth BM. Effect of topical morphine for mucositis-associated pain following concomitant chemoradiotherapy for head and neck carcinoma. Cancer. 2002 Nov 15;95(10):2230-6. doi: 10.1002/cncr.10938.

Reference Type BACKGROUND
PMID: 12412178 (View on PubMed)

Cerchietti L. Morphine mouthwashes for painful mucositis. Support Care Cancer. 2007 Jan;15(1):115-6; author reply 117. doi: 10.1007/s00520-006-0124-8. Epub 2006 Aug 15. No abstract available.

Reference Type BACKGROUND
PMID: 16909245 (View on PubMed)

Other Identifiers

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390163

Identifier Type: -

Identifier Source: org_study_id

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