Status:

UNKNOWN

Continuous IntraVenous Infusion of Ketamine in Terminally Ill Cancer Patients

Lead Sponsor:

Pusan National University Yangsan Hospital

Conditions:

Ketamine

Refractory Cancer Pain

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To establish the role of ketamine in hospitalized terminally ill cancer patients with refractory cancer pain, using continuous intravenous infusion of ketamine

Detailed Description

* There are approximately 20 percent patients of refractory cancer pain, which is troubled with uncontrolled pain though treatment including opioids. * Ketamine has been showed the performance of Keta...

Eligibility Criteria

Inclusion

  • Among patients with histologically or cytologically confirmed malignancy, patients with expected survival time of several months or less due to a progressive disease without additional anticancer treatment.
  • Patients with refractory cancer pain, which cases of requesting 4 or more breakthrough analgesics or increase of baseline analgesics (average pain score ≥ 4 or Personalized pain goal) in spite of 120 mg/day or more of intravenous Morphine Equivalent Daily Dose
  • Hospitalized patients with intravascular access during at least 5 days
  • Age 18 or older
  • Signed and dated informed consent of document indicating that the patient (or legally acceptable representative) has been informed about all pertinent aspects of the trial prior to enrollment

Exclusion

  • Patients who were treated with ketamine for pain control within 6 months
  • Patients who have been treated with radiotherapy within 4 weeks or plan to intervention for pain control during study period
  • Cancer pain cannot be excluded the Opioid induced hyperalgesia
  • Concomitant severe medical, surgical, or disease or problems which were contraindicated to application of Ketamine or have possibilities of unexpected medical problems caused be the Ketamine
  • confirmed or assumed central nervous system lesion which lead to increased intracranial pressure
  • Arrhythmia (supra-ventricular tachycardia, ventricular arrhythmia (frequent premature ventricular contraction, bigeminy, Ventricular tachycardia)
  • history of hemorrhagic stroke or seizure within 3 months

Key Trial Info

Start Date :

June 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2021

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT03362073

Start Date

June 1 2018

End Date

December 31 2021

Last Update

September 28 2021

Active Locations (1)

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Pusan National University Yangsan Hospital

Yangsan, Gyeongsangnam-do, South Korea, 50612