Cancer, Mucositis
Conditions
Keywords
Mucositis, Pain, Morphine, Ketamine
Brief summary
Hypothesis : Low dose ketamine has an analgesic effect in children with mucositis treated by patient-controlled analgesia with morphine
Detailed description
Double blind versus placebo multicenter Phase III trial of kétamine in children with chemotherapy induced-mucositis treated by patient-controlled analgesia with morphine
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Painful mucositis * Child from 5 to 18 years. * Presenting mucitis induced by chemotherapy or a conditioning of graft hematopoïetic. * A pain not controlled by systematic paracetamol (10mg/kg/4h) or a the propacetamol (20mg/kg/4h). * Not presenting a neurological or psychological difficulty at the use of the PCA or a EVA. * First morphine amount going back to less 48h, and lass administration dating of more than 4h at the time of the beginning of the perfusion of Ketamine/placebo (EVA \> 30 after stop morphine). * Assent signed by the parents and each time possible by the child.
Exclusion criteria
* The child was already included in the study. * The age of psychomotor development is lower than 5 years * Presence of a depression or a major depressive episode according to definition DSM IV. * Hepatic or renal anomaly major (rank 3 or 4 of the scale of toxicity NCI CTC v2.0) * Bilirubin\>3N * Gamma WP\>3N * SGOT or SGPT \>5N * Creatinin\>3N
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score | — |
Countries
France