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Brief Title: Rectal Administration of Opioids Using the Macy Catheter in Reducing Pain in Patients With Advanced Cancer
Official Title: Rectal Administration of Opioids for Comfort Care in Advanced Cancer Patients Using the Macy Catheter
Study ID: NCT03592459
Brief Summary: This trial studies how well rectal administration of opioids using the Macy catheter works in reducing pain in patients with cancer that has spread to other anatomic sites or is no longer responding to treatment. Rectal administration of opioids using the Macy catheter may help to reduce the cost of care, resolve the issue of medication availability currently faced in the form of parenteral opioid shortage throughout the country, and provide adequate comfort and symptom relief for patients with smoother transition out of hospital.
Detailed Description: PRIMARY OBJECTIVES: I. Determine the feasibility of using the device 'Macy catheter' for rectal administration of opioids for comfort in cancer patients on palliative care. SECONDARY OBJECTIVES: I. To determine the ease of use, level of satisfaction and overall perception of effectiveness of 'Macy catheter' for rectal administration of opioids for pain control in advanced cancer patients, by the hospital bedside nursing staff. II. To assess patients' (or primary care-giver's) experience of using the 'Macy catheter' 48 hours after discharge from the hospital. III. To assess the hospice staff (or primary care-giver's) experience of using the 'Macy catheter' after patient's death. OUTLINE: Patients undergo placement of rectal catheter and receive opioids through the Macy catheter.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
M D Anderson Cancer Center, Houston, Texas, United States
Name: Ahsan Azhar
Affiliation: M.D. Anderson Cancer Center
Role: PRINCIPAL_INVESTIGATOR