Paracetamol With or Without Ketoprofen in the Management of Pain for Patients Receiving Brachytherapy (KETOCOL-1304) (KETOCOL)
Paracetamol With or Without Ketoprofen in the Management of Pain During Hospitalisation and at Home for Patients Receiving Brachytherapy: Phase-2 Randomized Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- Selection criteria validation
- Patient information and collection of a signed informed consent
- Randomization
- Completion of HADS questionnaire
- Day 1 = Begin of analgesic treatment / brachytherapy
- T-30= 30 minutes before the operative procedure, IV administration of the analgesic treatment (Arm A or B) by the anesthetist
- T0= end of the operative procedure under general anesthesia
T4, T8, and T12 = 4, 8 and 12 hours after T0: evaluation of pain level. If pain level ≥ 4:
- paracetamol-codeine (Arms A and B) and continuation of ketoprofen (Arm B). Then, if persistence of pain :
- paracetamol and morphine (Arms A and B)
- Day 2 to Day 30: At home or during hospital stay:
Pain assessment twice a day by the patient until absence of pain during 2 consecutive days
- Day 3 and Day 15: Pain assessment or phone interview by the algologist of the investigation center ; completion of a HADS questionnaire on Day 3
- Day 30= End of study: Pain assessment by the algologist of the investigation center and HADS questionnaire
In any case, pain assessment must be done until absence of pain during 2 consecutive days
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Danièle Lefebvre-Kuntz, MD
- Phone Number: +33 3 20 29 59 89
- Email: d-lefebvre@o-lambret.fr
Study Contact Backup
- Name: Nathalie Leroux-Bromberg, MD
- Phone Number: +33 3 20 29 59 89
- Email: n-leroux@o-lambret.fr
Study Locations
-
-
-
Lille, France, 59020
- Centre Oscar Lambret
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with a uterine cervical cancer or an upper aero-digestive tract cancer
- Age ≥ 18 years and ≤ 75 years
- Patient who are eligible for brachytherapy treatment associated with or without hospital stay
- With operative procedure under general anesthesia to set up the material needed for brachytherapy
- Performance status ≤ 2
- Creatinine Clearance ≥ 60 ml/min using Cockcroft equation
- No coagulation disorder or anticoagulation therapy at curative dose
- Registered with a social security system
- Patient having dated and signed an informed consent form before initiation of any study procedures
Exclusion Criteria:
- Respiratory pathology (SpO2< 70 %)
- Severe undernutrition
- Previous hypersensitivity reactions such as bronchospasm, asthma, rhinitis, hives or other allergic reaction to ketoprofen, to acetylsalicylic acid, or other NSAIDs
- Previous hemorrhage or gastrointestinal perforation during a previous treatment with NSAID
- Gastrointestinal hemorrhage , cerebrovascular hemorrhage or other evolutive hemorrhage
- Evolutive peptic ulcer, previous peptic ulcer or recurring hemorrhage (2 or more distinct episodes of hemorrhage or ulcer objectified)
- Liver insufficiency
- Severe renal insufficiency
- Severe heart failure
- Treatment with another NSAID, including selective cyclooxygenase-2 inhibitors
- Intolerance or hypersensitivity to one of the treatments or excipients
- Inability to swallow
- Pregnant or breastfeeding woman
- Patient under tutorship or guardianship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Arm A
Paracetamol
|
Paracetamol 1 g IV then 1 g 3 times a day IV or oral (PO)
Other Names:
|
|
Experimental: Arm B
Paracetamol + Ketoprofen
|
Paracetamol 1 g IV then 1 g 3 times a day IV or oral (PO)
Other Names:
Ketoprofen* 100 mg (IV then PO) : Ketoprofen 100 mg IV 2 times a day or Ketoprofen LP 100 mg PO 2 times a day.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Level of immediate post-operative pain
Time Frame: Day 1
|
Immediate post-operative pain will be assessed on a scale from 0 to 10. Experimental treatment will be considered as a success if the level of pain is < 4, 4 hours after the surgical operation.
|
Day 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Level of pain linked to the operative procedure during brachytherapy and at home
Time Frame: Day 1 (8, 12 hours), Days 3, 15 and 30
|
Assessment of the pain level at 8, 12 hours after the operative procedure, then twice a day during hospital stay or at home until the absence of pain during 2 consecutive days.
This level will also be measured at days 3, 15 and 30 at hospital or during a phone interview (Days 3 and 15) and by the algologist of the investigation center on Day 30.
|
Day 1 (8, 12 hours), Days 3, 15 and 30
|
|
Tolerance of the analgesic treatment
Time Frame: 30 days
|
assessment based on NCI-CTCAE v4.0
|
30 days
|
|
Assessment of anxiety
Time Frame: inclusion, Days 3 and 30
|
before, during and after brachytherapy by completing the HADS questionnaire
|
inclusion, Days 3 and 30
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Danièle LEFEBVRE-KUNTZ, MD, Centre Oscar Lambret
- Study Director: Nathalie LEROUX, MD, Centre Oscar Lambret
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Neurologic Manifestations
- Nervous System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neurobehavioral Manifestations
- Uterine Diseases
- Genital Diseases, Female
- Genital Neoplasms, Female
- Uterine Cervical Diseases
- Uterine Neoplasms
- Perceptual Disorders
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Uterine Cervical Neoplasms
- Head and Neck Neoplasms
- Agnosia
- Organic Chemicals
- Carboxylic Acids
- Anilides
- Amides
- Aniline Compounds
- Amines
- Acetanilides
- Acids, Carbocyclic
- Phenylpropionates
- Acetaminophen
- Ketoprofen
Other Study ID Numbers
Other Study ID Numbers
- KETOCOL-1304
- 2013-005510-35 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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