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
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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