The purpose of this study is testing a respiratory stimulant, doxapram. Painkillers such as morphine and alfentanil mute breathing. This is often undesirable, especially in patients. To counteract this attenuation is often used drugs also take away…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
opioid geinduceerde ademdepressie
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Respiration
Secondary outcome
Pain relief
Background summary
Opiates have a depressing effect on respiration. This is potentially life
threatening. In this study we investigate whether the drug is responsible
doxapram opioid-induced breathing docking without pain relief is less. The
latter is always the case if specific opiate receptor antagonists such as
naloxone is administered. Doxapram has a different mechanism of en activation
of K receptors.
Study objective
The purpose of this study is testing a respiratory stimulant, doxapram.
Painkillers such as morphine and alfentanil mute breathing. This is often
undesirable, especially in patients. To counteract this attenuation is often
used drugs also take away analgesia. Doxapram is a drug that eliminates
respiratory depression without analgesia reduced. In this study we examine this
phenomenon. We will administer an analgesic (alfentanil) and respiration and
analgesia measured after administration of placebo or doxapram
Study design
Double blind, randomized, cross over
Study burden and risks
The risk is assessed as moderate. The only significant tax is that the
volunteer may become anxious during the infusion of doxapram. This disappears
immediately after discontinuation of the drug.
Albinusdreef 2
2333 ZA Leiden
NL
Albinusdreef 2
2333 ZA Leiden
NL
Listed location countries
Age
Inclusion criteria
Healthy male volunteers, aged 18-45 yr
Exclusion criteria
1. Past history of the anxiety disorder including panic attack, obsessive compulsive dis-order, phobias restricting normal daily function, social anxiety, and/or paranoia.
2. Current diagnosis of psychiatric disease requiring daily medication, including con-trolled or uncontrolled schizophrenia, history of or treatment of panic disorder, or any other uncontrolled psychiatric condition.
3. History of alcohol abuse (more than an average of 2-drinks per day) within the past 2 years.
4. History of drug abuse. Drug abuse defined as the use of a drug for a non-therapeutic effect.
5. History of smoking within the past year or a history of more than 5 years of consis-tent daily smoking.
6. Failure of the drug of abuse or ethanol breath tests at screening or check-in.
7. Positive for HIV, or Hepatitis B or C at screening.
8. Blood donation within 30 days of screening or plasma donation within 7 days of screening.
9. Subjects with a history of bleeding disorders or coagulopathies.
10. History of dyspnea, asthma, tuberculosis, chronic obstructive pulmonary disease, sleep apnea or any other ventilatory / lung disease.
11. Administration of any investigational drug or implantation of investigational device, or participation in another trial, within 30 days of screening.
12. Inability to perform acceptable, quality spirometry, and FEV1 <80% of predicted for age, sex and height.
13. Subjects who, in the opinion of the investigator, will not be able to participate opti-mally in the study.
14. Any surgical or medical condition which might significantly alter the distribution, me-tabolism or excretion of any drug. The investigator should be guided by evidence of any of the following, and be discussed with the Independent Physician prior to en-rollment into the trial:;a. history of pancreatic injury or pancreatitis;
b. history or presence of liver disease or liver injury;
c. history or presence of impaired renal function as indicated by clinically
significant elevation in creatinine, BUN/urea, urinary albumin, or clinically
significant urinary cellular constituents ; or
d. history of urinary obstruction or difficulty in voiding.
15. Subject who has a history of any infectious disease within 4 weeks prior to drug ad-ministration that in the opinion of the investigator, affects the subject*s ability to par-ticipate in the trial.
16. Subjects who are part of the study staff personnel or family members of the study staff personnel.
17. Subjects who have demonstrated allergic reactions (e.g., food, drug, atopic reactions or asthmatic episodes) which, in the opinion of the investigator and Independent Physician, interfere with their ability to participate in the trial.
18. Subjects who have a history of malignancy.
19. Personal or family history of malignant hyperthermia.
20. Daily consumption of caffeine greater than 5 caffeinated beverages (e.g., coffee, tea, soft drinks).
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2012-001849-41-NL |
CCMO | NL40679.058.12 |