Breathlessness of any cause in cancer patients are identified and treated with normal release morphine which has been shown to be both effective and safe.The idea of the trial is to see if there will be an added benefit to gentle dose increments. There are no placebos used.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? A score of equal or more than 3 on the Modified Borg scale at rest ? Cancer diagnosis ? Inpatient at The Royal Marsden Hospital ? Aged over 18 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: ?A score for breathlessness of less than 3 on the Modified Borg scale at rest ?Non cancer diagnosis ?Cognitive impairment ?Planned therapeutic procedure / anticancer treatment for breathlessness during the trial time. ?Patients taking opioids for moderate to severe pain e.g morphine, fentanyl, oxycodone. ?Aged under 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of this study is to investigate the effect of dose titration of morphine on patients who are dyspnoeic. Primary objective: To determine if a titrated increase in normal release morphine leads to a corresponding improvement in dyspnoea ;Secondary Objective: •To determine if there is a ceiling effect to the benefits of morphine on dyspnoea •To see if patients tolerate titration of morphine for dyspnoea. •To see if patients anxiety levels decrease if dyspnoea improves ;Primary end point(s): to identify the dose that best treats the symptoms of shortness of breath | — |
Countries
United Kingdom