The Role of Coadministration of Lidocaine and Ketamine in Opioid-Refractory Chronic Cancer-Related Pain.
NCT07408193 · Status: RECRUITING · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2026-07-07
Summary
This is a randomized, double-blinded, placebo-controlled, cross-over trial examining the effect of a series of two weekly intravenous infusions of lidocaine 4 mg/kg and ketamine 0.2 mg/kg in patients with moderate to severe opioid-refractory chronic cancer-related pain. The aim of this study is to investigate whether the lidocaine - ketamine (LK) regimen provides better analgesia that an active placebo of midazolam 0.02 mg/kg, in this population.
Conditions
- Opioid-Refractory Chronic Cancer-Related Pain
Interventions
- DRUG
-
Lidocaine and Ketamine Infusion
Participants receive two intravenous infusions, 7 days apart, containing lidocaine 4 mg/kg and ketamine 0.2 mg/kg (using actual body weight, or ideal body weight if BMI \>30). The drugs are combined in a single, clear solution and administered via an electronic pump in an outpatient setting.
- DRUG
-
Active Placebo (Midazolam) Infusion
Participants receive two intravenous infusions, 7 days apart, containing midazolam 0.02mg/kg (using actual body weight, or ideal body weight if BMI \>30). The drugs are combined in a single, clear solution and administered via an electronic pump in an outpatient setting.
Sponsors & Collaborators
-
Attikon Hospital
collaborator OTHER -
National and Kapodistrian University of Athens
lead OTHER
Principal Investigators
-
Konstantinos Kalimeris, Assoc Prof of Anesthesiology · National and Kapodistrian University of Athens
-
Maria Riga, Assis Prof of Anesthesiology · National and Kapodistrian University of Athens
-
Ioannis Kotsantis, Assis Prof of Oncology · National and Kapodistrian University of Athens
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-01
- Primary Completion
- 2027-08-31
- Completion
- 2027-08-31
Countries
- Greece
Study Locations
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