Morphine After Radiofrequency Ablation of Painful Bone Metastases in Patients With Cancer
Recruitment status was Recruiting
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Purpose
RATIONALE: Morphine may reduce pain in patients who have undergone radiofrequency ablation to remove bone metastases.
PURPOSE: This phase II trial is studying how well morphine works after radiofrequency ablation of painful bone metastases in patients with cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Metastatic Cancer Pain Unspecified Adult Solid Tumor, Protocol Specific |
Drug: acetaminophen Drug: morphine sulfate Other: questionnaire administration Procedure: quality-of-life assessment Procedure: radiofrequency ablation |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Primary Purpose: Supportive Care |
| Official Title: | Evaluation of the Effectiveness of the Radiofrequency Ablation for Reducing Refractory Pain From Bone Metastases |
- Maximum pain level decreased by ≥ 2 points at 8 weeks after radiofrequency ablation (RFA) [ Designated as safety issue: No ]
| Estimated Enrollment: | 63 |
| Study Start Date: | October 2007 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
OBJECTIVES:
Primary
- Measure the efficacy of morphine sulfate at 8 weeks after radiofrequency ablation (RFA) of bone metastases.
Secondary
- Assess minimum and average pain and analyze use of morphine sulfate before and after RFA.
- Determine disease progression by CT scan of bone.
- Evaluate the percentage of relief associated with RFA, specifically patient satisfaction, quality of life, anxiety, depression, and physical performance during RFA.
- Assess complications and side effects related to RFA and the evolution of possible side effects associated with morphine sulfate therapy.
OUTLINE: This is a multicenter study.
Patients complete a pain questionnaire over 1 week before undergoing radiofrequency ablation (RFA). Patients also complete questionnaires about pain, physical performance, quality of life (QOL), and anxiety at baseline.
Bone metastases are removed by radiofrequency ablation (RFA). After surgery, patients receive acetaminophen and patient-controlled analgesic (PCA) morphine sulfate. PCA morphine sulfate continues with a dose increase of 50% bolus every 24 hours. Patients with maximum pain less than or equal to that at inclusion receive standard morphine sulfate therapy instead.
Data concerning the total dose of PCA morphine sulfate; minimum, average, and maximum pain intensity; side effects and complications of RFA; and total dose of morphine sulfate (or equivalent) is collected daily.
Pain is assessed at 4 and 8 weeks after RFA. Patients complete follow-up questionnaires about physical performance, QOL, and anxiety at 12 weeks. Patients also undergo a CT scan at 12 weeks.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed cancer
- Primary or unknown origin
Painful bone metastases despite radiotherapy or symptomatic relapse into previously irradiated area with no possibility of repeating radiotherapy
- Bone metastases may have been treated with bisphosphonates
Osteolytic bone or joint (lytic and condensed) confirmed by CT scan and meeting the following criteria:
- Lesion size ≤ 5 cm
No more than 2 painful bone metastases
- If 2 lesions are to be treated, distinct anatomical locations can be treated at the same time
- Metastatic bone lesions of the pelvis, sacrum (in absence of canal involvement), ribs, or long bones allowed
- Pain located at the tumor or in the area
- Maximum pain in the last 24 hours > 4 points (numerical scale to 11 points)
PATIENT CHARACTERISTICS:
- Life expectancy > 3 months
- Platelet count > 50,000/μL
- Prothrombin < 50%
- Activated cephalin time ≤ 1.5 times normal
- Not pregnant
- Fertile patients must use effective contraception
- No geographical, social, or psychiatric reason that would preclude follow up
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- At least 4 weeks since prior radiotherapy
- At least 3 weeks since prior chemotherapy or bisphosphonates
- At least 1 week since beginning new painkiller therapy or anticoagulation treatment
- More than 30 days since participation in another drug study
- More than 30 days since prior surgery
Contacts and Locations| France | |
| Institut Bergonie | Recruiting |
| Bordeaux, France, 33076 | |
| Contact: Contact Person 33-556-333-333 dixmerias@bergonie.org | |
| Study Chair: | Florence Dixmerias, MD | Institut Bergonié |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00712712 History of Changes |
| Other Study ID Numbers: | CDR0000589594, IB-MEDOR, IB-2007-16, INCA-RECF0498, EUDRACT-2007-002686-13 |
| Study First Received: | July 9, 2008 |
| Last Updated: | December 13, 2009 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
bone metastases unspecified adult solid tumor, protocol specific pain |
Additional relevant MeSH terms:
|
Neoplasm Metastasis Neoplasms Neoplasms, Second Primary Bone Neoplasms Bone Marrow Diseases Neoplastic Processes Pathologic Processes Neoplasms by Site Bone Diseases Musculoskeletal Diseases Hematologic Diseases Acetaminophen Morphine |
Antipyretics Physiological Effects of Drugs Pharmacologic Actions Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Central Nervous System Agents Therapeutic Uses Analgesics, Opioid Central Nervous System Depressants Narcotics |
ClinicalTrials.gov processed this record on May 16, 2013