Clinical trial • Respiratory
MORPHINE SULFATE for Fibrotic interstitial lung disease|Interstitial lung disease
Clinical trial of MORPHINE SULFATE for Fibrotic interstitial lung disease|Interstitial lung disease.
Overview
- Trial Therapeutic Area
- Respiratory
- Trial Disease
- Fibrotic interstitial lung disease|Interstitial lung disease
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 22-11-2023
- First CTIS Authorization Date
- 11-03-2024
Trial design
Randomised, placebo (oral tablet) versus morphine (prolonged-release oral tablets). treatment period 4 weeks with increasing dosage and tapering after the trial; specific starting dose not stated in the record.-controlled trial across 3 sites in Denmark.
- Randomised
- Yes
- Comparator
- Placebo (oral tablet) versus morphine (prolonged-release oral tablets). Treatment period 4 weeks with increasing dosage and tapering after the trial; specific starting dose not stated in the record.
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 110
- Trial Duration For Participant
- 28
Eligibility
Recruits 110 No vulnerable populations selected; informed written consent required from participants; participants must be aged ≥ 18; no assent process described..
- Vulnerable Population
- No vulnerable populations selected; informed written consent required from participants; participants must be aged ≥ 18; no assent process described.
Inclusion criteria
- {"criterion_text":"- fibrotic interstitial lung disease"}
- {"criterion_text":"- GAP (Gneder-Age-Physiology) score 2-3"}
- {"criterion_text":"- Presence of fibroses on HRCT (tractionbronchiectasis, honeycombing, loss of volume >10% assessed by the investigator"}
- {"criterion_text":"- MRC (Medical Research Councils) dyspnea score ≥ 3"}
- {"criterion_text":"- Informed written consent"}
- {"criterion_text":"- Age ≥ 18 år"}
- {"criterion_text":"- Authoritative"}
Exclusion criteria
- {"criterion_text":"- Regular treatment with morphine or morphine analogues"}
- {"criterion_text":"- Allergy or intolerance to morphine or morphine analogues"}
- {"criterion_text":"- Ongoing infection or exacerbation"}
- {"criterion_text":"- Patients with so severe impaired respiration that any form of worsening would be too risky (assessed by the investigator)"}
- {"criterion_text":"- Treatment with benzodiazepines (not benzodiazepine receptor agonists)"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The change in average VAS score for dyspnea the last 24-hours (baseline) measured over a week and after 4 weeks treatment with morphine.","definition_or_measurement_approach":"Change in average Visual Analogue Scale (VAS) score for dyspnea over the last 24 hours (baseline) measured over a week and after 4 weeks of treatment."}
Secondary endpoints
- {"endpoint_text":"- Change in walking distance during 6-minute walk test from baseline to follow-up after 4 weeks of treatment","definition_or_measurement_approach":"Change in distance (meters) walked during a 6-minute walk test from baseline to 4-week follow-up."}
- {"endpoint_text":"- Change in level of desaturation at 6-minute walk test from baseline to follow-up after 4 weeks of treatment","definition_or_measurement_approach":"Change in oxygen desaturation measured during the 6-minute walk test from baseline to 4-week follow-up."}
- {"endpoint_text":"- Change in BORG dyspnea scale at 6-minute walk test from baseline to follow-up after 4 weeks of treatment","definition_or_measurement_approach":"Change in BORG dyspnea scale score recorded during the 6-minute walk test from baseline to 4-week follow-up."}
- {"endpoint_text":"- Change in questionnaire (VAS for tough, Leicester Cough Questionnaire, King's Brief Lung Disease Questionnaire, COPD assessment Score) from baseline to follow-up after 4 weeks of treatment","definition_or_measurement_approach":"Change in patient-reported outcomes assessed by VAS for cough, Leicester Cough Questionnaire, King's Brief Interstitial Lung Disease Questionnaire (K-BILD), and COPD Assessment Test from baseline to 4-week follow-up."}
Recruitment
- Planned Sample Size
- 110
- Recruitment Window Months
- 71
- Consent Approach
- Informed written consent required from participant (participants must be aged ≥18). No assent process or languages for consent documents specified.
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 110
Denmark
- Earliest CTIS Part Ii Submission Date
- 27-02-2024
- Latest Decision Or Authorization Date
- 11-03-2024
- Processing Time Days
- 13
- Number Of Sites
- 3
- Number Of Participants
- 110
Sites
- Site Name
- Aarhus University Hospital
- Department Name
- Department of Respiratory Diseases and Allergy
- Contact Person Name
- Sissel Kronborg-White
- Contact Person Email
- siskro@rm.dk
- Site Name
- Odense University Hospital
- Department Name
- Department of Respiratory Diseases
- Contact Person Name
- Jesper Rømhild Davidsen
- Contact Person Email
- jesper.roemhild.davidsen@rsyd.dk
- Site Name
- Gentofte Hospital
- Department Name
- Department of Respiratory Diseases
- Contact Person Name
- Saher Shaker
- Contact Person Email
- sager.burhan.shaker@regionh.dk
Sponsor
Primary sponsor
- Full Name
- Aarhus University Hospital
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Aarhus Universitet","duties_or_roles":"sponsorDuties codes: 1;9","organisation_type":"Educational Institution"}
Investigational products
- Investigational Product Name
- Malfin, depottabletter
- Active Substance
- MORPHINE SULFATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Maximum Dose
- 20 mg per day
- Investigational Product Name
- Contalgin, depottabletter
- Active Substance
- MORPHINE SULFATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Maximum Dose
- 10 mg per day
- Investigational Product Name
- Contalgin, depottabletter (other MA number)
- Active Substance
- MORPHINE SULFATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Maximum Dose
- 20 mg per day
- Investigational Product Name
- MST CONTINUS 5 mg prolonged-release tablets
- Active Substance
- MORPHINE SULFATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Maximum Dose
- 10 mg per day
- Investigational Product Name
- PLACEBO
- Active Substance
- PLACEBO
- Modality
- Other
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Maximum Dose
- 20 mg per day
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