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Absorption of sublingual delivered fentanyl (Abstral®) in head and neck cancer patients treated with curatively aimed chemo-radiotherapy

Conditions
head and neck cancer patients treated with chemo-radiotherapy
MedDRA version: 16.1Level: PTClassification code 10067821Term: Head and neck cancerSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2013-003707-18-NL
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
13
Inclusion Criteria

- patients with head and neck cancer and planned treatment with chemo-radiotherapy
- written informed consent
- age > or = 18
- no serious psychiatric illness, confusion or intellectual disability
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 13
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- use of fentanyl medication within one week before inclusion in the study (other opioid and non-opioid analgesics are allowed)
- opioid intolerance
- former allergic reactions to opioids
- the use of cytochrome P450 (CYP) inhibitors or inducers is not an exclusion criterion by itself. However, the patient should not change its use during the sampling periods, to exlude altered CYP function on the PK of Abstral

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: Primary endpoint<br>-The influence of mucositis on the plasma pharmacokinetics (primary AUC) of sublingually delivered fentanyl (Abstral ®) in patients during periods with and without mucositis. <br><br><br><br>;Secondary Objective: Secondary endpoint<br>-The influence of xerostomia on the pharmacokinetics of sublingually delivered fentanyl (Abstral ®) in patients during periods with and without xerostomia.<br>-The relation between absorption of sublingually delivered fentanyl and the local radiation dose.<br>;Primary end point(s): - Auc, clearance;Timepoint(s) of evaluation of this end point: 3 years
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): - pain scores<br>- CTC toxicity scores<br>- xerostomia scores;Timepoint(s) of evaluation of this end point: 3 years
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