Page last updated: 2024-10-29

ketamine and Cancer Pain

ketamine has been researched along with Cancer Pain in 24 studies

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group.

Cancer Pain: Pain that may be caused by or related to cellular, tissue, and systemic changes that occur during NEOPLASM growth, tissue invasion, and METASTASIS.

Research Excerpts

ExcerptRelevanceReference
"In conclusion, we confirmed that just as morphine, ketamine dose-dependently suppressed IL-2 and IFN-γ of activated T lymphocyte of patients with refractory cancer pain in vitro, but the inhibitory action of low dose ketamine could be neglected."9.24Ketamine, as adjuvant analgesics for patients with refractory cancer pain, does affect IL-2/IFN-γ expression of T cells in vitro?: A prospective, randomized, double-blind study. ( Fu, Z; Li, H; Wang, K; Zhou, N, 2017)
"To determine the effectiveness and adverse effects of ketamine as an adjuvant to opioids for refractory cancer pain in adults."8.95Ketamine as an adjuvant to opioids for cancer pain. ( Bell, RF; Eccleston, C; Kalso, EA, 2017)
"While randomized controlled trials consistently show lack of clinical efficacy of ketamine in treating cancer pain, a large number of open-label studies and case series show benefit."8.95Ketamine for cancer pain: what is the evidence? ( Dahan, A; Jonkman, K; van de Donk, T, 2017)
"Following recognition of opioid induced hyperalgesia, the patient was managed with opioid rotation and ketamine, which resulted in prompt alleviation of pain."8.12Role of Ketamine and Opioid Rotation in the Management of Opioid Induced Hyperalgesia in a Patient With Acute Promyelocytic Leukemia. ( Akhtari, M; Cao, H; Hino, C; Ran-Castillo, D; Silvestre, J, 2022)
"The objective of our study was to determine safety and pharmacology (pharmacokinetics and preliminary efficacy) of intranasal (IN) ketamine for uncontrolled cancer-related pain."8.12A dose-escalation clinical trial of intranasal ketamine for uncontrolled cancer-related pain. ( Beumer, JH; Curseen, K; Egan, K; Gillespie, TW; Harvey, RD; Lane, O; Shteamer, JW; Singh, V; Sniecinski, R; Spektor, B; Switchenko, J; Tsvetkova, M; Zarrabi, AJ, 2022)
"These data demonstrated the efficacy and safety of ketamine in a population of patients with refractory cancer pain."7.96The use of ketamine in the management of refractory cancer pain in a palliative care unit. ( Chan, PC; Cheung, KWA; Lo, SH, 2020)
"Ketamine has shown promise as an effective adjuvant despite conflicting reports."5.62Subanesthetic ketamine in the ambulatory setting for refractory cancer pain: a 6-year retrospective at a cancer center. ( Benkli, B; Chung, M; Huh, B; Qing, Y; Roldan, C; Wang, J, 2021)
"Opioid-induced hyperalgesia is a paradoxical adverse effect of opioid therapy with unclear strategies for its treatment and management."5.48The Enigma of Low-Dose Ketamine for Treatment of Opioid-Induced Hyperalgesia in the Setting of Psychosocial Suffering and Cancer-Associated Pain. ( Atayee, RS; Mesarwi, P; Willeford, A; Winters, KD, 2018)
"In conclusion, we confirmed that just as morphine, ketamine dose-dependently suppressed IL-2 and IFN-γ of activated T lymphocyte of patients with refractory cancer pain in vitro, but the inhibitory action of low dose ketamine could be neglected."5.24Ketamine, as adjuvant analgesics for patients with refractory cancer pain, does affect IL-2/IFN-γ expression of T cells in vitro?: A prospective, randomized, double-blind study. ( Fu, Z; Li, H; Wang, K; Zhou, N, 2017)
"To determine the effectiveness and adverse effects of ketamine as an adjuvant to opioids for refractory cancer pain in adults."4.95Ketamine as an adjuvant to opioids for cancer pain. ( Bell, RF; Eccleston, C; Kalso, EA, 2017)
"While randomized controlled trials consistently show lack of clinical efficacy of ketamine in treating cancer pain, a large number of open-label studies and case series show benefit."4.95Ketamine for cancer pain: what is the evidence? ( Dahan, A; Jonkman, K; van de Donk, T, 2017)
"Following recognition of opioid induced hyperalgesia, the patient was managed with opioid rotation and ketamine, which resulted in prompt alleviation of pain."4.12Role of Ketamine and Opioid Rotation in the Management of Opioid Induced Hyperalgesia in a Patient With Acute Promyelocytic Leukemia. ( Akhtari, M; Cao, H; Hino, C; Ran-Castillo, D; Silvestre, J, 2022)
"The objective of our study was to determine safety and pharmacology (pharmacokinetics and preliminary efficacy) of intranasal (IN) ketamine for uncontrolled cancer-related pain."4.12A dose-escalation clinical trial of intranasal ketamine for uncontrolled cancer-related pain. ( Beumer, JH; Curseen, K; Egan, K; Gillespie, TW; Harvey, RD; Lane, O; Shteamer, JW; Singh, V; Sniecinski, R; Spektor, B; Switchenko, J; Tsvetkova, M; Zarrabi, AJ, 2022)
"This prospective, multicentre, observational trial collected data regarding demographics, pain characteristics, pain score assessment within the first 48 hours of ketamine administration, tolerance and satisfaction from 38 patients aged 2-24 years prescribed with ketamine as an adjuvant antalgic for refractory cancer pain in 10 French paediatric oncology centres."4.12Low-dose ketamine adjuvant treatment for refractory pain in children, adolescents and young adults with cancer: a pilot study. ( Bertrand, A; Cojean, N; Courade, M; Dugue, S; Guerrini-Rousseau, L; Lervat, C; Levy, D; Marec-Berard, P; Pagnier, A; Piguet, C; Ribrault, A; Schmitt, C; Thouvenin, S, 2022)
"These data demonstrated the efficacy and safety of ketamine in a population of patients with refractory cancer pain."3.96The use of ketamine in the management of refractory cancer pain in a palliative care unit. ( Chan, PC; Cheung, KWA; Lo, SH, 2020)
"Among children on cancer chemotherapy with severe OM, ketamine mouthwash at a dose of 1 mg/kg did not significantly reduce OM pain."2.94Ketamine mouthwash versus placebo in the treatment of severe oral mucositis pain in children with cancer: A randomized double-blind placebo-controlled trial. ( Bakhshi, S; Gupta, AK; Meena, JP; Pandey, RM; Prakash, S; Seth, R; Velpandian, T, 2020)
" Oral bioavailability is low and erratic, limiting application of this route for chronic use."2.58Intranasal Ketamine and Its Potential Role in Cancer-Related Pain. ( Gillespie, TW; Harvey, RD; Singh, V, 2018)
"Chronic postsurgical pain (CPSP) is an important and well recognized cause of much long-term suffering, which in some cases may be preventable and affects many people living with cancer."2.58Chronic postsurgical pain and cancer: the catch of surviving the unsurvivable. ( Bhaskar, A; Humble, SR; Jayaweera, A; Varela, N, 2018)
"Ketamine has shown promise as an effective adjuvant despite conflicting reports."1.62Subanesthetic ketamine in the ambulatory setting for refractory cancer pain: a 6-year retrospective at a cancer center. ( Benkli, B; Chung, M; Huh, B; Qing, Y; Roldan, C; Wang, J, 2021)
"For severe cancer-related pain that is not relieved adequately by escalating doses of oral or parenterally administered strong opioid analgesics such as morphine, alone or in combination with an adjuvant drug such as ketamine, more invasive dosing routes may be warranted."1.51Bioerodable Ketamine-Loaded Microparticles Fabricated Using Dissolvable Hydrogel Template Technology. ( Han, FY; Smith, MT; Whittaker, AK; Zhu, M, 2019)
"Opioid-induced hyperalgesia is a paradoxical adverse effect of opioid therapy with unclear strategies for its treatment and management."1.48The Enigma of Low-Dose Ketamine for Treatment of Opioid-Induced Hyperalgesia in the Setting of Psychosocial Suffering and Cancer-Associated Pain. ( Atayee, RS; Mesarwi, P; Willeford, A; Winters, KD, 2018)
"Pain is a significant side effect of disease, surgery and treatments including chemotherapy."1.43Pain management for chemotherapy-induced oral mucositis. ( Bennett, M, 2016)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's15 (62.50)24.3611
2020's9 (37.50)2.80

Authors

AuthorsStudies
Hino, C1
Ran-Castillo, D1
Akhtari, M1
Cao, H1
Silvestre, J1
Forth, N1
Nguyen, M1
Grech, A1
Singh, V2
Gillespie, TW2
Lane, O1
Spektor, B1
Zarrabi, AJ1
Egan, K1
Curseen, K1
Tsvetkova, M1
Beumer, JH1
Sniecinski, R1
Shteamer, JW1
Switchenko, J1
Harvey, RD2
Cheung, KWA1
Chan, PC1
Lo, SH1
Winegarden, JA1
Carr, DB1
Bradshaw, YS1
Prakash, S1
Meena, JP1
Gupta, AK1
Bakhshi, S1
Velpandian, T1
Pandey, RM1
Seth, R1
Davis, MP1
Chung, M1
Benkli, B1
Roldan, C1
Qing, Y1
Wang, J1
Huh, B1
Farquhar-Smith, P1
Zhou, N1
Fu, Z1
Li, H1
Wang, K1
Bell, RF1
Eccleston, C1
Kalso, EA1
Matic, M1
Jongen, JL1
Elens, L1
de Wildt, SN1
Tibboel, D1
Sillevis Smitt, PA1
van Schaik, RH1
Humble, SR1
Varela, N1
Jayaweera, A1
Bhaskar, A1
Fallon, MT1
Wilcock, A1
Kelly, CA1
Paul, J1
Lewsley, LA1
Norrie, J1
Laird, BJA1
Hakim, RC1
Edmonds, KP1
Atayee, RS2
Mercadante, S1
Caruselli, A1
Casuccio, A1
McCaffrey, N1
Flint, T1
Kaambwa, B1
Fazekas, B1
Rowett, D1
Currow, DC1
Hardy, J1
Agar, MR1
Quinn, S1
Eckermann, S1
Zhu, M1
Whittaker, AK1
Smith, MT1
Han, FY1
Willeford, A1
Winters, KD1
Mesarwi, P1
Courade, M1
Bertrand, A1
Guerrini-Rousseau, L1
Pagnier, A1
Levy, D1
Lervat, C1
Cojean, N1
Ribrault, A1
Dugue, S1
Thouvenin, S1
Piguet, C1
Schmitt, C1
Marec-Berard, P1
Waldfogel, JM1
Nesbit, S1
Cohen, SP1
Dy, SM1
Bennett, M1
Jonkman, K1
van de Donk, T1
Dahan, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase II Study About Efficacy and Safety of the Continuous IntraVenous Infusion of Ketamine in Terminally Ill Cancer Patients With Refractory Cancer Pain[NCT03362073]Phase 226 participants (Anticipated)Interventional2018-06-01Recruiting
A Pilot Study of the Use of Oral Ketamine for Treatment of Vaso-Occlusive Pain in Adolescents and Young Adults[NCT05378555]Phase 310 participants (Anticipated)Interventional2023-05-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

5 reviews available for ketamine and Cancer Pain

ArticleYear
Topical Ketamine with Other Adjuvants: Underutilized for Refractory Cancer Pain? A Case Series and Suggested Revision of the World Health Organization Stepladder for Cancer Pain.
    Journal of palliative medicine, 2020, Volume: 23, Issue:9

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Humans; Ketamine; Neoplasms; Pain, Intractable; Retrosp

2020
Ketamine as an adjuvant to opioids for cancer pain.
    The Cochrane database of systematic reviews, 2017, 06-28, Volume: 6

    Topics: Adult; Aged; Analgesics; Analgesics, Opioid; Cancer Pain; Chemotherapy, Adjuvant; Female; Hallucinat

2017
Intranasal Ketamine and Its Potential Role in Cancer-Related Pain.
    Pharmacotherapy, 2018, Volume: 38, Issue:3

    Topics: Administration, Intranasal; Analgesics; Animals; Cancer Pain; Humans; Ketamine; Receptors, N-Methyl-

2018
Chronic postsurgical pain and cancer: the catch of surviving the unsurvivable.
    Current opinion in supportive and palliative care, 2018, Volume: 12, Issue:2

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Chronic Pain; Drug Therapy, Combination; Gabapentin; Ge

2018
Ketamine for cancer pain: what is the evidence?
    Current opinion in supportive and palliative care, 2017, Volume: 11, Issue:2

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Drug Therapy, Combination; Humans; Ketamine; Neuralgia;

2017

Trials

3 trials available for ketamine and Cancer Pain

ArticleYear
Ketamine mouthwash versus placebo in the treatment of severe oral mucositis pain in children with cancer: A randomized double-blind placebo-controlled trial.
    Pediatric blood & cancer, 2020, Volume: 67, Issue:9

    Topics: Adolescent; Analgesics; Antineoplastic Combined Chemotherapy Protocols; Cancer Pain; Child; Double-B

2020
Ketamine, as adjuvant analgesics for patients with refractory cancer pain, does affect IL-2/IFN-γ expression of T cells in vitro?: A prospective, randomized, double-blind study.
    Medicine, 2017, Volume: 96, Issue:16

    Topics: Analgesics; Cancer Pain; Dose-Response Relationship, Drug; Double-Blind Method; Humans; Interferon-g

2017
Oral Ketamine vs Placebo in Patients With Cancer-Related Neuropathic Pain: A Randomized Clinical Trial.
    JAMA oncology, 2018, 06-01, Volume: 4, Issue:6

    Topics: Aged; Analgesics; Antineoplastic Agents; Anxiety; Cancer Pain; Cognition Disorders; Depression; Doub

2018

Other Studies

16 other studies available for ketamine and Cancer Pain

ArticleYear
Role of Ketamine and Opioid Rotation in the Management of Opioid Induced Hyperalgesia in a Patient With Acute Promyelocytic Leukemia.
    Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2022, Volume: 28, Issue:5

    Topics: Adult; Analgesics, Opioid; Cancer Pain; Female; Humans; Hyperalgesia; Ketamine; Leukemia, Promyelocy

2022
A Case Report of Subanesthetic Ketamine Bolus and Infusion for Opioid Refractory Cancer Pain.
    Journal of palliative medicine, 2022, Volume: 25, Issue:7

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Humans; Ketamine; Neoplasms; Pain, Intractable

2022
A dose-escalation clinical trial of intranasal ketamine for uncontrolled cancer-related pain.
    Pharmacotherapy, 2022, Volume: 42, Issue:4

    Topics: Adult; Analgesics; Analgesics, Opioid; Cancer Pain; Double-Blind Method; Humans; Ketamine; Neoplasms

2022
The use of ketamine in the management of refractory cancer pain in a palliative care unit.
    Annals of palliative medicine, 2020, Volume: 9, Issue:6

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Humans; Ketamine; Neoplasms; Palliative Care; Retrospec

2020
Topical Ketamine and Revision of the World Health Organization Step Ladder for Cancer Pain.
    Journal of palliative medicine, 2020, Volume: 23, Issue:9

    Topics: Analgesics; Cancer Pain; Humans; Ketamine; Neoplasms; Pain; World Health Organization

2020
Subanesthetic ketamine in the ambulatory setting for refractory cancer pain: a 6-year retrospective at a cancer center.
    Pain management, 2021, Volume: 11, Issue:3

    Topics: Analgesics; Cancer Pain; Humans; Ketamine; Neoplasms; Pain, Intractable; Quality of Life; Retrospect

2021
Editorial.
    Current opinion in supportive and palliative care, 2017, Volume: 11, Issue:2

    Topics: Administration, Topical; Cancer Pain; Humans; Ketamine; Palliative Care

2017
Advanced cancer pain: the search for genetic factors correlated with interindividual variability in opioid requirement.
    Pharmacogenomics, 2017, Volume: 18, Issue:12

    Topics: Aged; Alleles; Analgesics, Opioid; Cancer Pain; Female; Genotype; Humans; Individuality; Ketamine; M

2017
Case Report: Utility of Ketamine, Lidocaine, and Mexiletine as Nonopioid Adjuvants in Complex Cancer-Associated Pain.
    Journal of pain & palliative care pharmacotherapy, 2018, Volume: 32, Issue:1

    Topics: Adult; Analgesics; Analgesics, Opioid; Anesthetics, Local; Cancer Pain; Carcinoma, Squamous Cell; Fe

2018
The use of ketamine in a palliative-supportive care unit: a retrospective analysis.
    Annals of palliative medicine, 2018, Volume: 7, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Chemotherapy, Adjuvant; Female; Hum

2018
Economic evaluation of the randomised, double-blind, placebo-controlled study of subcutaneous ketamine in the management of chronic cancer pain.
    Palliative medicine, 2019, Volume: 33, Issue:1

    Topics: Administration, Cutaneous; Adult; Aged; Australia; Cancer Pain; Chronic Pain; Double-Blind Method; F

2019
Bioerodable Ketamine-Loaded Microparticles Fabricated Using Dissolvable Hydrogel Template Technology.
    Journal of pharmaceutical sciences, 2019, Volume: 108, Issue:3

    Topics: Absorbable Implants; Analgesics; Cancer Pain; Delayed-Action Preparations; Drug Carriers; Drug Compo

2019
The Enigma of Low-Dose Ketamine for Treatment of Opioid-Induced Hyperalgesia in the Setting of Psychosocial Suffering and Cancer-Associated Pain.
    Journal of pain & palliative care pharmacotherapy, 2018, Volume: 32, Issue:4

    Topics: Adult; Analgesia, Patient-Controlled; Analgesics, Opioid; Cancer Pain; Dose-Response Relationship, D

2018
Low-dose ketamine adjuvant treatment for refractory pain in children, adolescents and young adults with cancer: a pilot study.
    BMJ supportive & palliative care, 2022, Volume: 12, Issue:e5

    Topics: Adolescent; Analgesics; Analgesics, Opioid; Cancer Pain; Child; Child, Preschool; Humans; Ketamine;

2022
Successful Treatment of Opioid-Refractory Cancer Pain with Short-Course, Low-Dose Ketamine.
    Journal of pain & palliative care pharmacotherapy, 2016, Volume: 30, Issue:4

    Topics: Adult; Analgesics; Analgesics, Opioid; Cancer Pain; Dose-Response Relationship, Drug; Humans; Ketami

2016
Pain management for chemotherapy-induced oral mucositis.
    Nursing children and young people, 2016, Dec-08, Volume: 28, Issue:10

    Topics: Administration, Intravenous; Analgesics; Analgesics, Opioid; Antineoplastic Agents; Cancer Pain; Chi

2016