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An Exploratory Randomised Controlled Open-Label Study of Methadone Rotation versus Other Opioid Rotation for the Treatment of Refractory Cancer Induced Bone Pai

Phase 2
Conditions
Refractory Cancer Induced Bone Pain
Cancer - Any cancer
Anaesthesiology - Pain management
Registration Number
ACTRN12621000141842
Lead Sponsor
Dr Merlina Sulistio
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

•Age at least 18 years.
•Diagnosis of solid tumour or haematological cancer with a predicted prognosis of greater than 8 weeks.
•Diagnosis of CIBP confirmed through radiological investigations and meeting the core diagnostic criteria for CIBP as defined by The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks-American Pain Society (ACTTION-APS).
•On a strong baseline opioid pre-rotation (morphine, oxycodone or hydromorphone).
•Willing to be enrolled in a trial comparing methadone to another opioid rotation, where allocation is at random (1:1).
•greater than or equal to 4 of 10 worst pain from CIBP on 0 to 10 numeric rating scale (NRS) and/ or existing opioid results in opioid toxicity (CTCAE grade 2 or greater).
•Sufficiently proficient in English to be able to complete questionnaires and provide informed consent.

Exclusion Criteria

•Received radiotherapy in the last 30 days.
•QTc >500msec.
•History of mental health condition or impaired cognition that would prevent completion of questionnaires.
•Too unwell to participate in the study as determined by the patient’s treating physician.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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