Intranasal Fentanyl for the Treatment of Breakthrough Pain in Cancer Patients (FT-017-IM)
- Conditions
- CancerPain
- Registration Number
- NCT00345735
- Lead Sponsor
- Nycomed
- Brief Summary
Primary Objective:
To demonstrate the efficacy of intranasal fentanyl in the treatment of breakthrough pain (BTP) in cancer patients.
Secondary Objective:
To explore the relationship between the response to the fentanyl dose and the stable background pain opioid dose.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- Has the patient given informed consent according to local requirements before any trial-related activities? Trial-related activities are any procedures that would not have been performed during the routine management of the patient.
- Is the patient a cancer patient with breakthrough pain?
- Is the patient aged ≥ 18 years?
- Has the patient received, for at least the past month, either oral morphine, oxycodone, hydromorphone, or transdermal fentanyl for treatment of background pain?
- Is the current dose of the scheduled background pain opioid of the patient equivalent to 60-500 mg oral morphine/day or to 25-200 µg/hour transdermal fentanyl?
- Is the background pain generally stable and on average controlled to a mild level (defined as ≤ 4 on an 11-point numerical rating scale [NRS]) by the background pain opioid?
- Is the BTP(s) in general of such severe pain intensity that the patient judges he/she needs additional analgesics (apart from background pain medication) and does it normally last for more than 15 minutes?
- Does the patient, in general, while using a stable fixed-schedule opioid regimen have at least three BTP episodes per week but no more than four BTP episodes per day?
- Has the patient obtained at least partial relief of BTP(s) with his/her usual immediate-release strong opioid, i.e. oral morphine, oxycodone, hydromorphone or transmucosal fentanyl?
- Is the life expectancy of the patient at least 3 months?
- Is the patient able to use intranasal drugs?
- Does the patient use adequate contraceptive precautions (contraceptive pill, implant or injection, or intrauterine device) in the trial period?
- Does the patient have a negative pregnancy test?
- Was the background pain, during a minimum of five of the seven days, controlled to a mild level (defined as ≤ 4 on an 11-point NRS) by the background pain opioid?
- Did the patient have at least three BTP episodes during the seven days but no more than four BTP episodes per day?
- Was the BTP(s) of such severe pain intensity that the patient took additional analgesics (apart from the usual background pain opioid)?
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Does the patient have a recent history of substance abuse?
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Is the patient pregnant or nursing during the trial period?
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Does the patient have neurological or psychiatric impairment that may compromise data collection?
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Does the patient have severe hepatic impairment? (Investigator's judgement according to local practice.)
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Has the patient had any recent therapy, which could potentially alter pain or response to analgesics to a degree, where the need for background pain opioid will be:
- less than 60 mg morphine or morphine equivalents/day; or
- less than 25 µg/hour transdermal fentanyl or the number of BTP episodes will be less than three per week during the trial period?
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Has the patient had facial radiotherapy?
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Has the patient been treated with a monoamine oxidase (MAO) inhibitor within the last 14 days?
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Does the patient use methadone or buprenorphine?
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Does the patient have impaired respiratory function to an extent which may severely increase the risk of clinically relevant respiratory depression by BTP fentanyl treatment?
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Does the patient use drugs for intranasal administration?
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Does the patient have a nasopharyngeal probe?
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Is the patient known to be hypersensitive to fentanyl or to other opioids or any of their excipients?
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Does the patient have any head injury, primary brain tumour, or other pathological conditions which could significantly increase the risk of increased intracranial pressure or impaired consciousness?
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Is the patient concomitantly participating in any other trial with an investigational drug or device apart from cancer treatment and participation in NAF trial FT-016-IM within 30 days prior to inclusion in this trial?
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Does the patient have pathological conditions of the nasal cavity as contraindications to intranasal fentanyl?
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Primary Outcome Measures
Name Time Method Pain intensity difference at 10 minutes (PID10) after administration
- Secondary Outcome Measures
Name Time Method Sum of pain intensity differences over the 0-60 minute time interval (SPID0-60) and General Impression (GI) with 5 point verbal rating scale at 60 minutes
Trial Locations
- Locations (1)
Nycomed
🇩🇰Roskilde, Denmark