Randomised double-blind placebo-controlled crossover trial of diamorphine by implantable drug delivery system in the treatment of chronic non-malignant pain

ISRCTN ISRCTN45019882
DOI https://doi.org/10.1186/ISRCTN45019882
Secondary identifying numbers N0557115189
Submission date
12/09/2003
Registration date
12/09/2003
Last edited
26/07/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jonathan Raphael
Scientific

Consultant in Pain Management
Guest Hospital
Tipton Road
Dudley
DY1 4SE
United Kingdom

Phone +44 (0)1384 244809
Email JH.Raphael@dgoh.nhs.uk

Study information

Study designRandomised double-blind placebo-controlled crossover
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeNot Specified
Scientific title
Study objectivesDo implanted intrathecal analgesic drug pumps relieve pain in patients with chronic non-malignant pain?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSigns and Symptoms: Pain
Intervention1. Pump filled with diamorphine in normal saline set initially to deliver 0.5 ml/day (0.1 ml)
2. Pump filled with normal saline and set initially to deliver 0.1 ml per day

For the first 2 weeks the pump can be increased by 0.05 ml/day at half-weekly reviews if the patient describes inadequate pain relief. The pump rate will remain constant for the next 4 weeks and be returned to 0.1 ml/day by week 8 (in half-weekly intervals by increments of 0.05 ml/day). The pump is then refilled with the alternative mixture and the process repeated, ending with 0.1 ml/day by week 8 of the second pump refill (week 16).
Intervention typeOther
Primary outcome measure1. Pain relief by Visual Analogue Scale (VAS)
2. Function by Oswestry Disability Score
3. Psychological parameters by Hospital Anxiety Depression Score
4. Pain Coping Strategies Questionnaire
5. Sociological factors by Short Form-36 Questionnaire
6. Overall Assessment by Global Impression of Change
Secondary outcome measuresNot provided at time of registration
Overall study start date01/09/2002
Completion date30/04/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants16
Key inclusion criteriaAim to recruit 16 patients to the trial from patients scheduled for intrathecal pump implantation for the delivery of diamorphine in the management of chronic non-cancer pain.
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/09/2002
Date of final enrolment30/04/2004

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Consultant in Pain Management
Dudley
DY1 4SE
United Kingdom

Sponsor information

Department of Health (UK)
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Government

The Dudley Group of Hospitals NHS Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2013 Yes No