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Switching From Morphine to Oral Methadone Plus Acetaminophen in the Treatment of Cancer Pain

Phase 2
Conditions
Cancer
Pain
Palliative Care
Interventions
Registration Number
NCT00525967
Lead Sponsor
Faculdade de Medicina do ABC
Brief Summary

The purpose of this study is to determine whether oral methadone plus acetaminophen can substitute morphine in the treatment of cancer pain.

Detailed Description

Opioids are the mainstay of moderate-to-severe cancer pain management. Although morphine is the most commonly used, methadone has some advantages such as higher potency, lower cost and longer administration intervals. To minimize the time necessary to achieve the equianalgesic effect after a switching from morphine to methadone, acetaminophen was added in the treatment.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Clinical diagnosis of cancer pain
  • Regular use of oral Morphine
Read More
Exclusion Criteria
  • Use of Acetaminophen in the last 48 hours
  • Renal or Hepatic failure
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2Methadone plus Acetaminophen or PlaceboMethadone plus Acetaminophen
1Methadone plus Acetaminophen or PlaceboMethadone plus Placebo
Primary Outcome Measures
NameTimeMethod
Pain intensity and time to equianalgesic effectwithin the first 7 days after switching
Secondary Outcome Measures
NameTimeMethod
Degree of nausea, vomiting, obstipation, xerostomia and drowsinesswithin the first 7 days of switching

Trial Locations

Locations (1)

Disciplina de Oncologia, Faculdade de Medicina do ABC

🇧🇷

Santo André, São Paulo, Brazil

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