Status:

RECRUITING

Doxepin Solution for Alleviation of Stubborn Breakthrough Pain Induced by Swallowing in Patients Receiving Radiotherapy for Nasopharyngeal Carcinoma

Lead Sponsor:

Nanfang Hospital, Southern Medical University

Conditions:

Swallowing-induced Pain

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to explore the effectiveness and adverse reactions of doxepin solution spray for alleviation of stubborn breakthrough pain induced by swallowing in patients receivin...

Detailed Description

Patients with nasopharyngeal carcinoma receiving radical radiotherapy or chemoradiotherapy who developed oral mucositis and had a swallowing-induced pain score ≥ 4 were recruited and randomly assigned...

Eligibility Criteria

Inclusion

  • Provide informed written consent.
  • Age ≥ 18 years.
  • Histologically confirmed as nasopharyngeal carcinoma, and currently undergoing radical radiotherapy or chemoradiotherapy.
  • Physical examination demonstrating the presence of radiation-induced mucositis in the oral cavity and/or oropharynx.
  • At least 4 (out of 10) patient-reported swallowing-induced pain as measured by the numeric rating scale of pain.
  • Being able to complete the questionnaires independently or with assistance.
  • ECOG Performance Status 0, 1 or 2.

Exclusion

  • Known allergy to doxepin, tricyclic antidepressants, or any known component of the drug formulation.
  • Use of a tricyclic antidepressant or monoamine oxidase inhibitor within 14 days prior to registration.
  • Current untreated or unhealed oral candidiasis or oral herpes simplex virus infection.
  • Untreated narrow angle glaucoma within 6 weeks prior to registration.
  • Untreated urinary retention within 6 weeks prior to registration.
  • Administration of cryotherapy to prevent oral mucositis within 6 weeks prior to registration.
  • Current serious heart disease or a recent history of myocardial infarction.
  • Current untreated or unresolved conditions like epilepsy, hyperthyroidism, hepatic dysfunction, delirium, and neutropenia.
  • Pregnant or lactating women.

Key Trial Info

Start Date :

October 31 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 28 2026

Estimated Enrollment :

178 Patients enrolled

Trial Details

Trial ID

NCT06017895

Start Date

October 31 2023

End Date

February 28 2026

Last Update

December 27 2024

Active Locations (1)

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1

Southern medical university

Guangzhou, Guangdong, China, 510515