Status:

UNKNOWN

Ibuprofen or Morphine in Treating Pain in Patients Undergoing Pleurodesis for Malignant Pleural Effusion

Lead Sponsor:

Oxford University Hospitals NHS Trust

Conditions:

Metastatic Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Morphine and ibuprofen help lessen pain caused by pleurodesis. It is not yet known whether one drug is more effective than the other in lessening pleurodesis-related pain or whether the siz...

Detailed Description

OBJECTIVES: Primary * To evaluate the efficacy of a non-steroidal based regimen comprising ibuprofen in decreasing post-pleurodesis pain as compared to an opiate-based regimen comprising morphine su...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of malignant pleural effusion requiring pleurodesis confirmed by 1 of the following:
  • Histologically proven pleural malignancy
  • Typical features of pleural malignancy seen on direct vision during thoracoscopy
  • Pleural effusion in the context of histologically proven cancer elsewhere
  • No primary lymphoma or small cell lung carcinoma
  • All patients undergoing thoracoscopy for suspected malignant pleural effusion are eligible
  • PATIENT CHARACTERISTICS:
  • Life expectancy \> 1 month
  • Not pregnant or nursing
  • No history of GI bleeding or untreated peptic ulceration
  • No known sensitivity to non-steroidal anti-inflammatory drugs (NSAIDs), opiates, or paracetamol
  • No hypercapnic respiratory failure
  • No known intravenous drug abuse
  • No severe renal or liver disease
  • No known bleeding diathesis
  • Able to give informed consent
  • PRIOR CONCURRENT THERAPY:
  • More than 2 weeks since prior and no concurrent corticosteroid therapy
  • No concurrent warfarin therapy
  • No other concurrent analgesics
  • Analgesics used as a breakthrough regimen are allowed from trial entry to tube withdrawal at day 3 post-pleurodesis (i.e., regular paracetamol, assigned study analgesia, and breakthrough medication only, including opiate slow release patches)
  • No concurrent enrollment on another clinical study
  • Patients may participate in other trials immediately after completion of current trial, excluding those involving further pleural procedures or analgesia trials in which patients must wait at least 3 months after completion of current trial

Exclusion

    Key Trial Info

    Start Date :

    March 1 2007

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    Estimated Enrollment :

    320 Patients enrolled

    Trial Details

    Trial ID

    NCT00644319

    Start Date

    March 1 2007

    Last Update

    July 8 2009

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Oxford Radcliffe Hospital

    Oxford, England, United Kingdom, 0X3 9DU