Antalgic effect of low dose ketamine in stomatitis of chemotherapy treated by morphine patient controlled analgesia in children
DEC-NET Serial number FR238
Published online27/05/2004 17.04.00
Last updated19/09/2005 10.54.16
Other protocol ID numberCRC01022
Current trial statusOpen (actively recruiting new participants)
Major Disease
(ICD9 class)
STOMATITIS
Experimental drug
Ketamine
GenderBoth
Age (range)5-18 years

Eligibility criteria
Inclusion criteria
-Informed written consent signed by the parents or if possible subject assent. - Stomatitis complicating chemotherapy or hematopoietic graft. -No neurological or psycological limitation to use patientcontrolled analgesia or pain evaluation score (VAE). - Pain not controlled by acetaminophen (10mg/kg/4h)or proacetaminophen 20mg/kg/4) : defined by VAE test > 30 during 4 hours or more.
Exclusion criteria
- Children previously included in this study. - Psychomotor development < 5 years. - Depression or major depressif episode according to the DSMIV definition. - Creatinin > 3N - Bilirubin > 3N - Gamma GT> 5N - SGOT ou SGPT > 5N

Trial design/methodology
Phase3
Kind of studyEfficacy
Safety
Pharmacokinetics
DesignControlled
Randomised
Blinded
Single blind
Purpose of study
To evaluate the efficacy of patient controlled analgesia with morphine associated with low dose ketamine, in children with stomatitis complicating chemotherapy and hematopoïetic graft.
Summary of study design, objectives, and ongoing research findings
Phase III trial comparing morphine patient controlled analgesia alone or associated with low dose ketamine for the treatment of the stomatitis post chemotherapy and bone marrow transplantation. Pain, morphine consumption and side effects are evaluated every 4 hours. A pharmacokinetic study of ketamine and norketamine is carried out. Efficacy is evaluated by the pain score, morphine consumption and side effects.
Principal investigator
NameEvelyne JACQZ-AIGRAIN
InstitutionHôpital Robert DEBRE, Service Pharmacologie clinique pédiatrique
Postal address48 Bd Serurier 75019
CityPARIS
CountryFRANCE
Phone00(33)0140032150
Fax00(33)0140034759
E-mailevelyne.jacqz-aigrain@rdb.ap-hop-paris.fr


Participating centres
Hôpital Robert Debré (Paris)
CHR Hôpital of Brabois (Nancy)
Hôpital Saint Louis (Paris)
CHU Cote de Nacre (Caen)
CHU of Limoges (Limoges)
Hôpital des enfants (Toulouse)
Hôpital de Haute pierre (Strasbourg)
CHU Besancon (Besancon)
Hôpital Lapeyronie (Montpellier)
Hôpital Trousseau (Paris)
Hôtel Dieu (Nantes)

ISRCTN  EudraCT