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 |
Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease
Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease
Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease
Before-after study of efficacy of morphine for dyspnea in patients with chronic obstructive pulmonary disease
Japan |
COPD
Pneumology |
Others
NO
The aim of this study is to investigate the efficacy of morphine for dyspnea in patients with COPD.
Efficacy
Confirmatory
Dyspnea NRS change between before (Day 0 evening) and after morphine treatment (Day 2 evening)
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Oral morphine 3mg or 2mg every 6 hours (total six times)
40 | years-old | <= |
Not applicable |
Male and Female
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
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
35
1st name | |
Middle name | |
Last name | Yoshinobu Matsuda |
National Hospital Organization Kinki-Chuo Chest Medical Center
Department of Psychosomatic Internal Medicine
1180 Nagasone-cho, Kita-ku, Sakai, Osaka, 591-8555, Japan
072-252-3021
ymatsuda@kch.hosp.go.jp
1st name | |
Middle name | |
Last name | Yoshinobu Matsuda |
National Hospital Organization Kinki-Chuo Chest Medical Center
Department of Psychosomatic Internal Medicine
1180 Nagasone-cho, Kita-ku, Sakai, Osaka, 591-8555, Japan
072-252-3021
ymatsuda@kch.hosp.go.jp
Non-Profit Organization JORTC
National Center for Geriatrics and Gerontology
Other
NO
2014 | Year | 09 | Month | 30 | Day |
Unpublished
Completed
2014 | Year | 08 | Month | 26 | Day |
2014 | Year | 09 | Month | 08 | Day |
2014 | Year | 10 | Month | 09 | Day |
2018 | Year | 02 | Month | 28 | Day |
2014 | Year | 09 | Month | 30 | Day |
2019 | Year | 04 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017782