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临床试验/ISRCTN32236160
ISRCTN32236160已完成未知

BETter TreatmEnts for Refractory Breathlessness: A feasibility study of the use of mirtazapine for refractory breathlessness

Kings College Hospital NHS Foundation Trust0 个研究点目标入组 64 人开始时间: 2016年6月13日最近更新:

试验速览

阶段
未知
状态
已完成
发起方
入组人数
64

研究概览

简要总结

2020 Results article in https://www.ncbi.nlm.nih.gov/pubmed/31915308 results (added 10/01/2020) 2020 Results article in https://www.ncbi.nlm.nih.gov/pubmed/32087745 qualitative results (added 24/02/2020)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Male or female aged = 18 years old
  • 2. Modified MRC dyspnoea scale grade 3 or 4
  • 3. Diagnosis of either:
  • 3.1. Cancer
  • 3.2. Chronic obstructive pulmonary disease (COPD)
  • 3.3. Interstitial lung disease (ILD)
  • 3.4. Chronic heart failure (New York Heart Association class III or IV)
  • 4. On optimal treatment of the underlying condition in the opinion of the identifying clinician
  • 5. Management of the underlying condition unchanged for the previous 1 week
  • 6. Reversible causes of breathlessness optimally treated in the opinion of the identifying clinician
  • 7. Expected prognosis of =2 months
  • 8. If female and of child-bearing potential, must agree to use adequate contraception
  • 9. Able to complete questionnaires and trial assessments
  • 10. Able to provide written informed consent

排除标准

  • 1. Existing antidepressant use
  • 2. Known contraindication to mirtazapine
  • 3. Hypersensitivity to the active substance or to any of the components of the mirtazapine or placebo (e.g. lactose intolerance)
  • 4. Australia modified Karnofsky Performance Scale =40
  • 5. Pregnant or breast-feeding women
  • 6. Patients with acute cardiac events within 3 months of randomisation (myocardial infarction, unstable angina pectoris, or significant cardiac conduction disturbance)
  • 7. Patients with known hepatic impairment
  • 8. Patients with known renal impairment
  • 9. Patients with uncontrolled blood pressure
  • 10. Patients with uncontrolled diabetes mellitus
  • 11. Patients with uncontrolled seizures, epilepsy or organic brain syndrome
  • 12. Patients with severe depression or suicidal thoughts
  • 13. Patients with a history of psychotic illness (schizophrenia, bipolar disorder, mania or hypomania, or other psychotic disturbances)

研究者

发起方
Kings College Hospital NHS Foundation Trust

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