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A phase II, multi-site, double blind, randomised placebo-controlled feasibility trial of crushed oral famotidine for management of Inoperable Malignant Bowel Obstruction (IMBO)

Phase 2
Conditions
Bowel Obstruction
Malignant Bowel Obstruction
Bowel cancer
Cancer - Bowel - Small bowel (duodenum and ileum)
Cancer - Bowel - Back passage (rectum) or large bowel (colon)
Registration Number
ACTRN12621001403820
Lead Sponsor
niversity of Technology Sydney
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
All
Target Recruitment
4
Inclusion Criteria

•Advanced cancer;
•Clinically confirmed bowel obstruction at any level with vomiting that precipitates a hospital admission or change in clinical care;
•Deemed by two consultant level medical practitioners that this person has a bowel obstruction (partial or complete) for which immediate surgery is not indicated;
•Disease-modifying therapy (surgery, chemotherapy, radiotherapy, hormone therapy; biological/targeted therapies) is deemed by relevant practitioners unlikely to change the bowel obstruction;
•If participant has a nasogastric tube (NGT), final decompression must be at least 12 hours before treatment start;
•Participant is capable of completing assessments and complying with the study procedures;
•Record a St Louis Mental Status Exam Score (SLUMS) of greater than or equal to 23 or as deemed suitable by the site principal investigator; and
•Participant is able to give fully informed, written consent.

Exclusion Criteria

•Previous adverse reaction to any of the study medications;
•Calculated creatinine clearance <10 mL / min using the Modification of Diet in Renal Disease Study (MDRD) formula;
•Venting or feeding gastrostomy or jejunostomy;
•Participant has a NGT that, in the investigator’s opinion, cannot be clamped for the duration of treatment; and
•Oral food intake that cannot be reduced to clear fluids

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is whether this study is feasible to extend to a fully powered phase III clinical trial. <br><br>Feasibility is defined as:<br>1.An average of one participant identified per site every eight weeks using recruitment tracking data bases;<br>2.One participant recruited per site every 12 weeks using recruitment racking databases; and<br>3.Collect data for >80% of people randomised, to the primary endpoint of 120 hours or study exit assessed by reviewing the data entry into the study data base..<br>[ On completion of the study<br><br>]
Secondary Outcome Measures
NameTimeMethod
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