UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000015288
Receipt number R000017782
Scientific Title Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease
Date of disclosure of the study information 2014/09/30
Last modified on 2019/04/03 09:12:04

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Basic information

Public title

Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease

Acronym

Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease

Scientific Title

Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease

Scientific Title:Acronym

Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease

Region

Japan


Condition

Condition

COPD

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the efficacy of morphine for dyspnea in patients with COPD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Dyspnea NRS change between before (Day 0 evening) and after morphine treatment (Day 2 evening)

Key secondary outcomes

1. Dyspnea NRS change between before (Day 0 morning) and after morphine treatment (Day 1 morning, Day 2 morning)
2. Dyspnea NRS change between before (Day 0 evening) and after morphine treatment (Day1 evening).
3. Respiratory rate, blood puressure, SpO2
4. Sleep disturbance
5. Nausea NRS, Somnolence NRS, Anorexia NRS,
6. Nausea and constipation grade in CTCAE v4.0
7. Sedation
8. Derilium
9. Other adverse effect
10. Spontaneous bowel movement


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Oral morphine 3mg or 2mg every 6 hours (total six times)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Hospitalized patients with diagnosis of COPD based on the criteria of GOLD 2014 (FEV1/FVC<70%)
2. Patients with severe dyspnea at rest after standard treatment for dypnea
3. Patients aged 40 years-old or older at the time of obtaining informed consent
4. Patients with history of cigarette smoking of at least 10 pack-years
5. Patients who have the following data at baseline:
AST <= 100 IU/L
ALT <= 100 IU/L
T-BIL <= 2.0 mg/dL
eGFR >= 30 mL/min
SPO2 >= 90 % (Oxygen is allowed)
PaCO2 <= 60 Torr (Oxygen is allowed)
6. Patients who receive enough other treatment fo dyspnea of COPD
7. Patients with expected survival of 1 month or longer
8. Patients with lucidity and capability of communication and without cognitive inpairments
9. Patients who agree to participate the study with written informed consent

Key exclusion criteria

1. Patients with contraindication of morphine (ex. allergy for morphine and history of severe adverse effects of morphine)
2. Patients who use opioid. Patients who did not use codein within 3 days before study entry are eligble.
3. Patients with COPD acute exacerbation
4. Patients with active infection that causes dyspnea
5. Patients with lung cancer that causes dyspnea
6. Patients with pneumothorax
7. Patients who uses invasive positive airway pressure ventilation. Patients who uses nasal high flow were not excluded
8. Patients who changed the way of intaking of bronchodilators, corticosteroids, vasodilators and anxiolytics within two days before enrollment of the study
9. Patients who have or had drug abuse or drug dependence
10. Patients who are pregnant or possibly pregnant
11. Patients who are judged to be innapropriate for the study by the physician

Target sample size

35


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshinobu Matsuda

Organization

National Hospital Organization Kinki-Chuo Chest Medical Center

Division name

Department of Psychosomatic Internal Medicine

Zip code


Address

1180 Nagasone-cho, Kita-ku, Sakai, Osaka, 591-8555, Japan

TEL

072-252-3021

Email

ymatsuda@kch.hosp.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshinobu Matsuda

Organization

National Hospital Organization Kinki-Chuo Chest Medical Center

Division name

Department of Psychosomatic Internal Medicine

Zip code


Address

1180 Nagasone-cho, Kita-ku, Sakai, Osaka, 591-8555, Japan

TEL

072-252-3021

Homepage URL


Email

ymatsuda@kch.hosp.go.jp


Sponsor or person

Institute

Non-Profit Organization JORTC

Institute

Department

Personal name



Funding Source

Organization

National Center for Geriatrics and Gerontology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 09 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 08 Month 26 Day

Date of IRB

2014 Year 09 Month 08 Day

Anticipated trial start date

2014 Year 10 Month 09 Day

Last follow-up date

2018 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 09 Month 30 Day

Last modified on

2019 Year 04 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017782


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name