Treatment of Severe Mucositis Pain With Oral Ketamine Mouthwash
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|ClinicalTrials.gov Identifier: NCT01566448|
Recruitment Status : Completed
First Posted : March 29, 2012
Results First Posted : January 11, 2021
Last Update Posted : January 11, 2021
Oral mucositis (inflammation of the lining of the mouth) is a very common adverse effect when chemotherapy and radiation therapy are used to treat cancer. Mucositis occurs in about 40% of patients receiving standard dose chemotherapy, 80% of patients receiving radiation therapy of the head and neck, and up to 100% of patients undergoing a bone marrow transplant. Because the pain from mucositis can be so bad it can cause the inability to eat or drink, inability to talk, gagging and drooling. Many times mucositis can affect cancer treatment because patients may have to be given a lower dose of a drug or stop treatment completely. There are not many treatments today that can help relieve the severe pain caused from mucositis. This research study will help researchers determine if using an oral mouthwash called Ketamine will help lessen mucositis pain.
Ketamine is approved by the Food and Drug Administration (FDA) for use with general anesthesia, sedation and for severe pain. WVU Hospital is now using Ketamine mouthwash as a standard treatment option for mucositis pain.
During this study patients will be assessed to determine the level of pain caused by their mucositis. This will occur before the first dose, one hour after the first dose, and then daily until they are no longer on the study. Patients will use the mouthwash by swishing and spitting (20mg/5ml) four times each day, and also every four hours as needed. Patients will use the mouthwash on this study until their mucositis gets better or until the mucositis gets worse (or if the pain does not get better after three days of treatment).
|Condition or disease||Intervention/treatment||Phase|
|Mucositis||Drug: Ketamine||Phase 2|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||30 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Treatment of Severe Mucositis Pain With Oral Ketamine Mouthwash|
|Study Start Date :||February 2012|
|Actual Primary Completion Date :||July 2015|
|Actual Study Completion Date :||July 2015|
Ketamine oral mouthwash 20mg/5ml swish and spit four times daily
20mg/5ml swish and spit four times daily
- Change in Pain Scores [ Time Frame: 1 hour after baseline ]Change in pain score as reported at baseline and after the use of ketamine mouthwash on a numeric scale from 0 to 10, with 0 representing no pain and 10 representing the worst pain.
- Time From Dose Administration to Change in Pain Intensity as Reported by Subject. [ Time Frame: 1 day after start of ketamine mouthwashes ]Patients will be questioned about time until maximal pain relief and given options of: no effect, 1-15 minutes, 15-30 minutes, 30-45 minutes, 45-60 minutes and greater than 1 hour.
- Duration of Effect of Pain Reduction [ Time Frame: Day 1 after start of ketamine mouthwashes ]Patients will be question about the duration of pain relief and given the option of no effect, less than one hour, 1-2 hours, 2-3 hours, 3-4 hours, greater than 4 hours or N/A.
- Change in Use of Narcotic Analgesics [ Time Frame: Days 1 after start of ketamine mouthwashes ]Change in IV morphine equivalents of opioid requirements
- Change in Topical Lidocaine Usage [ Time Frame: Days 1 after start of ketamine mouthwashes ]Change of topical lidocaine uses in 24 hour period
- Change in Sleep Quality [ Time Frame: Day 1 after start of ketamine mouthwashes ]Sleep quality, as reported by the subject on a numeric scale (1-10) will be used as a surrogate marker of quality of life with 0 indicating no sleep and 10 indicating the best sleep you have had.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01566448
|United States, West Virginia|
|West Virginia University Hospitals Mary Babb Randolph Cancer Center|
|Morgantown, West Virginia, United States, 26506|
|Principal Investigator:||Aaron Cumpston, PharmD||West Virginia University|