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Ketamine and Hydromorphone for Patient Controlled Pain Relief in Children's Mucositis
This study is not yet open for participant recruitment.
Verified by University of British Columbia, September 2008
Sponsored by: University of British Columbia
Information provided by: University of British Columbia
ClinicalTrials.gov Identifier: NCT00474110
  Purpose

The treatment of cancer in children may result in an extremely painful condition called oral mucositis when the cells lining the mouth are injured due to the cancer medication. Patients with this condition are often unable to take anything by mouth or to swallow their own saliva. This severe pain may last for as long as 2 weeks. A survey of our previous 22 patients showed high daily pain scores despite the use of intravenous (given through a small tube in a vein) opioid medications (family of pain relieving drugs, e.g. morphine and hydromorphone).

The purpose of this pilot study is to determine which of 3 concentrations of ketamine to combine with hydromorphone to provide the best pain relief with minimum side effects. The results from this study will allow us to do a larger study to compare the best concentration found from this study to standard treatment. If successful, this combination of ketamine and hydromorphone will also be used to treat other pain problems in children.


Condition Intervention Phase
Mucositis
Drug: Ketamine & hydromorphone
Phase III

Drug Information available for: Hydromorphone Hydromorphone hydrochloride Ketamine Ketamine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Safety/Efficacy Study
Official Title: Ketamine and Hydromorphone PCA Analgesia for Antineoplastic-Induced Pediatric Mucositis

Further study details as provided by University of British Columbia:

Primary Outcome Measures:
  • 24 hour hydromorphone consumption [ Time Frame: Unspecified ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Self-report symptom scores [ Time Frame: Unspecified ] [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: September 2008
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Ketamine and hydromorphone for patient-controlled relief in children's mucositis.
Drug: Ketamine & hydromorphone
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  Eligibility

Ages Eligible for Study:   5 Years to 19 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pediatric oral mucositis due to anti-neoplastic therapy.

Exclusion Criteria:

  • Must not be receiving concurrent oral analgesics or sedatives such as acetaminophen, gabapentin, lorazepam, nabilone or clonidine.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00474110

Contacts
Contact: Joanne Lim 604-875-2000 ext 6669 jlim2@cw.bc.ca

Locations
Canada, British Columbia
BC Children's Hospital
Vancouver, British Columbia, Canada, V6H 3V4
Sponsors and Collaborators
University of British Columbia
Investigators
Principal Investigator: Carolyne Montgomery, MD University of British Columbia
Study Director: Mark Ansermino, MD University of British Columbia
Study Director: Caron Strahlendorf, MD University of British Columbia
Study Director: Robert Purdy, MD University of British Columbia
Study Director: Colleen Court, MD University of British Columbia
Study Director: Joanne Lim University of British Columbia
  More Information

Responsible Party: University of British Columbia ( Dr Carolyne Montgomery )
Study ID Numbers: H06-03799
Study First Received: May 14, 2007
Last Updated: September 22, 2008
ClinicalTrials.gov Identifier: NCT00474110  
Health Authority: Canada: Health Canada

Keywords provided by University of British Columbia:
Ketamine
hydromorphone
pediatric mucositis

Study placed in the following topic categories:
Hydromorphone
Mouth Diseases
Excitatory Amino Acids
Digestive System Diseases
Mucositis
Gastrointestinal Diseases
Ketamine
Pain
Stomatognathic Diseases
Gastroenteritis

Additional relevant MeSH terms:
Anesthetics, Intravenous
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Anesthetics
Central Nervous System Depressants
Narcotics
Excitatory Amino Acid Agents
Anesthetics, Dissociative
Pharmacologic Actions
Sensory System Agents
Anesthetics, General
Therapeutic Uses
Peripheral Nervous System Agents
Analgesics
Central Nervous System Agents
Analgesics, Opioid
Excitatory Amino Acid Antagonists

ClinicalTrials.gov processed this record on January 16, 2009