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Cancer Pain clinical trials

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NCT ID: NCT05272865 Not yet recruiting - Neoplasms Clinical Trials

Pharmacokinetic and Pharmacodynamic Evaluation of Formulations of Δ9-THC

Start date: August 15, 2023
Phase: Phase 1/Phase 2
Study type: Interventional

Study based on the pharmacokinetic, pharmacodynamic, safety and stability evaluation of 3 standardized formulations of THC, to be used in healthy volunteers and post-chemotherapy patients as an adjuvant in the symptomatic treatment of the latter in discomfort associated with cancer treatment, with the aim of possible new therapeutic entities.

NCT ID: NCT05265442 Not yet recruiting - Cancer Pain Clinical Trials

Real-life Observational Study of Cancer Pain Management With Methadone in Patients Inadequately Relieved by Other Level 3 Opioids.

DUNE
Start date: February 23, 2022
Phase:
Study type: Observational

Study rational. Methadone is a distinctive opioid because of its pharmacological characteristics and its multiple modes of action, reinforcing its therapeutic value in managing advanced cancer pain, particularly in cases with a neuropathic component. However, the complex pharmacodynamics of methadone makes its prescription sometimes challenging. There is a wide inter-individual variability of its half-life. This long half-life is a valued characteristic for the management of patients treated for an addictive disorder. However, in the context of pain management, it greatly complicates the switch from and to another opioid, accentuating the risk of overdose. This is the reason why LBR, willing to improve his knowledge about Methadone in real life clinical practice wants to performe this study. We anticipate that most patients will receive one of the above-described protocols, but we must anticipate that other protocols may be used in clinical practice in the absence of specific recommendations. Therefore it is of utmost relevance to describe the safety when initiating treatment with Zoryon® during the crucial period from D1 until the day of optimal dosage is determined (DOD) as the clinical practice may vary from a practician to another, and then until the routine follow-up visit one month after initiation of the treatment (D28).

NCT ID: NCT05265052 Not yet recruiting - Cancer Pain Clinical Trials

3D1002 in Combination With Oxycodone Hydrochloride Sustained-release Tablets in Patients With Moderate to Severe Cancer Pain

Start date: September 2024
Phase: Phase 2
Study type: Interventional

This study aims to evaluate the safety and efficacy of 3D1002 alone or in combination with oxycodone hydrochloride sustained-release tablets (OxyContin) for the management of moderate or severe cancer pain.

NCT ID: NCT05230238 Recruiting - Oncology Pain Clinical Trials

Pituitary Gland Stimulation for Cancer Pain Relief

PGS
Start date: October 12, 2021
Phase: N/A
Study type: Interventional

Patients will undergo an implantation of an extradural pituitary surface electrode in the pituitary fossa. The electrode will be attached to a neurostimulator via which the patient will receive up to 8 (patient requested) stimulations per day.

NCT ID: NCT05209906 Completed - Cancer Pain Clinical Trials

An Observation Study to Assess the Efficacy and Safety of Proportional Doses of Painkyl® in Patients With Breakthrough Cancer Pain

Start date: November 6, 2019
Phase:
Study type: Observational

An open-label, single arm, observation study, to assess the efficacy and safety of proportional doses of Painkyl® in patients with breakthrough cancer pain.

NCT ID: NCT05145972 Not yet recruiting - Clinical trials for Efficacy of Adding Lidocaine 10% to Phenol in Superior Hypogastric Plexus Neurolysis

Efficacy of Adding Lidocaine 10% to Phenol in Ultrasound Guided Superior Hypogastric Plexus Neurolysis in The Management of Pelvic Cancer Pain

Start date: December 30, 2021
Phase: Phase 2
Study type: Interventional

The superior hypogastric plexus (SHP) is a complex nervous collection located at the lumbosacral region below the level of the aortic bifurcation at the level of the lower third of the fifth lumbar vertebral body and upper third of the first sacral vertebral body at the sacral promontory Neurolytic agents, such as alcohol and phenol have been used to ablate peripheral nerves to treat pain and spasticity . These agents were nonspecific for neuronal tissue and complications have been seen involving damage to surrounding soft tissue (skin, muscle, vascular) and pain on alcohol injection Lidocaine has been demonstrated to be neurotoxic in high concentrations at 10% and can be used as a neurolytic agent with no effect on motor function, muscle state, or surrounding tissue rather than other neurolytic.

NCT ID: NCT05088876 Recruiting - Pain Clinical Trials

Paracetamol in Addition to WHO Step III Opioids in Chronic Cancer Pain Control

ParOP
Start date: August 30, 2024
Phase: Phase 4
Study type: Interventional

Blinded withdrawal of regular co-medication with paracetamol in chronic pain patients under strong opioids on pain control.

NCT ID: NCT05067556 Recruiting - Pain Clinical Trials

Decreasing Long-term Opioid Use in Cancer Survivors

Start date: December 20, 2021
Phase: N/A
Study type: Interventional

This is a feasibility pilot trial assessing a behavioral intervention for chronic pain among disease-free cancer survivors to decrease long-term opioid dependence.

NCT ID: NCT05053308 Withdrawn - Cancer Pain Clinical Trials

Proportional Dose of Sublingual Fentanyl Tablet Based on Daily Opioid Requirement

Start date: December 1, 2022
Phase: N/A
Study type: Interventional

Proportional dose of sublingual fentanyl tablet (Narco®) based on daily opioid requirement versus intravenous PCA for breakthrough cancer pain: A prospective, randomized, open-label, noninferiority trial.

NCT ID: NCT05051735 Recruiting - Cancer Clinical Trials

PARASTOP - Paracetamol With Strong Opioids

PARASTOP
Start date: October 20, 2021
Phase: Phase 3
Study type: Interventional

Current guidelines recommend all people with cancer-related pain should be prescribed paracetamol, even those receiving high doses of strong pain killers (opioids) such as morphine. Although this has been shown in studies to be beneficial in other conditions, for instance dental work and after surgery, it has not been shown to further improve pain in people with cancer-related pain. Taking tablets is burdensome to patients and the study aims to determine whether the inconvenience of taking eight extra paracetamol tablets per day can be justified. The study plans to show whether or not pain control is changed (non-inferior) when stopping paracetamol compared to continued use of paracetamol in people already taking strong pain killers for cancer-related pain. Voluntary participants who are taking a combination of paracetamol and a strong opioid are recruited to the study.