| Title | The efficacy of choline magnesium trisalicylate (CMT) in the management of metastatic bone pain: a pilot study. | | Author(s) | Johnson JR, Miller AJ | | Institution | Shropshire and Mid Wales Hospice, Bicton Health, Shrewsbury, UK. | | Source | Palliat Med 1994; 8(2):129-35. | | MeSH | Adolescent
Adult
Aged
Anti-Inflammatory Agents, Non-Steroidal
Bone Neoplasms
Choline
Dose-Response Relationship, Drug
Double-Blind Method
Female
Humans
Male
Middle Aged
Pain
Pain Measurement
Palliative Care
Salicylates
| | Abstract | Twenty-six patients with painful, bony metastases were recruited into a randomized, double-blind, single dose, two-treatment, three-part crossover study of choline magnesium trisalicylate (CMT) and placebo. Assessments were made prior to and at one, two, three and four hours after dosing. Bone pain caused by metastatic cancer was significantly relieved one hour after the administration of 1500 mg CMT (p = 0.04). At all four time points the pain was less than baseline with CMT and at three time points greater than baseline with placebo but these results did not reach statistical significance. The summed pain intensity difference for patients was greater with CMT than with placebo, but this also did not reach significance. The incidence of volunteered side-effects was similar for both treatments. The results suggest that a nonacetylating, nonsteroidal anti-inflammatory drug may have a role complementary to that of an opioid in the management of metastatic bone pain. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Randomized Controlled Trial
| | PubMed ID | 7521713 |
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