Interstitial Lung Disease, Dyspnea, Morphine
Conditions
Keywords
randomised, placebo controlled, clinical trial
Brief summary
36 patients with interstitial lung disease will be randomized to 1 weeks treatment with morphine hydrochloride as oral linctus 5 mg, four times a day, and 5 mg as needed up to 4 times a day, or corresponding doses of placebo. VAS score for dyspnea will be evaluated after 1 hour and 1 week at follow up. Other questionnaires will also be evaluated (GAD-7, K-BUILD, Leicester score)
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* A diagnosis of interstitial lung disease (IPF, NSIP, RA-ILS, Scl-ILS, MCTD-ILS, asbestous, drug induced ILD, unclassified ILD) * Dyspnea corresponding to Medial Research Councils (MRC) dyspnea score ≥ 3 * Written consent * Age ≥ 18 years * Competent * For fertile women: Negative pregnancy test * For fertile and sexually active participants: Use of safe anti-conceptionals
Exclusion criteria
* Ongoing infection * Decreased lung function to a degree which makes any form of respiratory depression life threatening * Treatment with morphine or morphine analogues * Allergy towards morphine hydrochloride
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS dyspnea score | 1 week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxygen saturation | 1 hour and 1 week | Peripheral oxygen saturation will be measured after first dose of morphine and placebo as well as after 1 week follow up |
| K-bild questionnaire | 1 week | questionnaire regarding interstitial lung specific life quality |
| GAD-7 questionnaire | 1 week | VAlidatet score for anxiety and depression |
| 6 min walk test | 1 hour and 1 week | — |
| Leicester Score | 1 week | cough related score |
Countries
Denmark