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physical dependence on opioids in cancer patients

Not Applicable
Conditions
Neoplasms
Registration Number
KCT0005159
Lead Sponsor
Gyeongsang National University Changwon Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
53
Inclusion Criteria

1. age: 18 years or old
2. those who have willing to participate in the trial
3. cancer patients who have been prescribed opioids of MEDD 80 mg or less and who were physically dependent on offending opioids
4. consistent with DSM-5 diagnostic criteria for opioid withdrawal
5. those in whom there is no evidence of cancer or cancer have not progressed for more than 6 months
6. appropriate bone marrow, renal, and hepatic function

Exclusion Criteria

1. co-morbid dependence on high doses of benzodiazepines or other central nervous system depressants or alcohol
2. hypersensitivity on buprenorphine
3. those who were treated with MAO inhibitors during the last 2 weeks
4. pregnant or potential to become pregnant
5. severe respiratory impairment
6. significant untreated psychiatric comorbidity including depressive disorders, antisocial and borderline personality disorder
7. active or chronic suicidal or homicidal ideation or attempts
8. significant medical complications which are prioritized over participating study
9. patients who have a significant pain (more than NRS 4) or who are unable to manage cancer pain without opioids
10. history of being prescribed buprenorphine for any purpose in the last 8 weeks

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Success rate of opioid discontinuation [Negative urine drug screening (UDS) after 8 weeks of opioid discontinuation]
Secondary Outcome Measures
NameTimeMethod
Success rate of opioid discontinuation (by history taking, counselling);Clinical Opioid Withdrawal Scale (COWS);Numeric rating scale (NRS) for desire to use opioids;Quality of life (QoL);adverse events
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