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A Prospective Randomized Controlled Trial of Morphine versus Oxycodone for Cancer Pain: Genetic Determinants of Response to Opioids. - RCT Morphine vs Oxycodone: Genetics Study

Phase 1
Conditions
10-30% of cancer patients have an unsuccessful outcome when given oral morphine because of intolerable side effects. Oxycodone is an alternative opioid which is commonly used as a second line opioid. No randomised controlled trials have yet been carried out directly comparing morphine versus oxycodone.
Registration Number
EUCTR2005-001660-31-GB
Lead Sponsor
The Royal Marsden Hospital NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Inclusion Criteria

Patients must have a clinical or histological diagnosis of cancer.

Patients whose pain is not controlled on Step 2 analgesics (as defined by the WHO analgesic ladder) who clinically require a strong opioid.

Patients must be over 18 years of age.

Patients must be able to give written informed consent.

Patients must be willing to undergo genetic screening

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Exclusion Criteria

Patients with renal failure (1.5x ULN). These patients should be treated with alfentanil as per palliative care guidelines.

Patients must not have been taking regular Step 3 analgesics in the last month.

Patients requiring parenteral administration of opioids.

Patients with predominantly neuropathic pain.

Patients with predominantly incident pain

Patients with a clearly defined history of intolerance to morphine or oxycodone.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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