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临床试验/EUCTR2006-002087-26-FR
EUCTR2006-002087-26-FR进行中(未招募)1 期

An open label, comparative, randomised, balanced crossover trial comparing nasal fentanyl and oral transmucosal fentanyl (Actiq) in breakthrough pain in patients with cancer.

ycomed Danmark ApS0 个研究点目标入组 0 人开始时间: 2006年11月16日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • All inclusion criteria must be answered yes
  • Has the patient given informed consent according to applicable requirements before any trial-related activities
  • Is the patient a cancer patient with breakthrough pain (BTP)
  • Is the patient 18 years or above
  • 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 transdermal fentanyl 25-200µg/hour
  • Is the background pain gererally stable and on average controlled to a mild level by the background pain opioid
  • Is the BTP episodes in general of so severe pain intensity that the patient judges he/she needs additional analgesics( apart from background pain medication)
  • In general does the patient have at least three BTP episodes per week but no more than four BTP episodes per day while using a stable fixed-schedule opioid regimen
  • Has the patient obtained at least partial relief of BTP with his/her usual immediate release strong opioid i.e. morphine, oxycodone, hydromorphine or transmucosal fentanyl
  • Is the life expectancy of the patient at least 3 months
  • Is the patient able to use nasal drugs
  • For female patients of child bearing potential: Does the patient use adequate contraceptive precaution in the trial period
  • Does the patient have a negative urine or blood pregnancy test
  • 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
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • All exclusion criteria must be answered no
  • Does the patient have a recent history of substance abuse
  • Is the patient pregnant or nursing during the trial period
  • Has the patient neurological or psychiatric impairment that may compromise data collection
  • Has the patient severe hepatic impairment
  • Has the patient had any recent therapy which could potentially alter pain 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 25µg/hour transdermal fentanyl or the number of BTP episodes will be less than three per week during the trial period
  • Has the patient ever had oral/nasal surgery or facial radiotherapy ? (Tooth extraction performed more than 30 days prior to screening is allowed)
  • Has the patient received radiotherapy within the last 30 days or is the patient scheduled to receive radiotherapy within the next 8 weeks
  • Has the patient been treated with MAO inhibitor within the last 14 days
  • Has the patient been treated with Methadone within the last 32 days
  • Has the patient been treated with Buprenorphine within the last 16 days
  • Does the patient have an impaired respiratory function to an extent which may severely increase the risk of clinically relevant respiratory depression by BTP fentanyl treatment
  • Does the patient use drugs for nasal administration
  • Does the patient have nasopharyngeal probe
  • Is the patient known to be hypersensitive to fentanyl or to other opioids or any of their excipients
  • Has the patient any head injury, primary brain tumour or other pathological conditions which could significantly increase the risk of increased intracranial pressure or impaired consciousness
  • Has the patient concomitant participation in any other trial with an investigational drug or device apart from cancer treatment within 30 days prior to inclusion in this trial
  • Does the patient have pathological conditions of the nasal and/or oral cavity as contraindication to nasal fentanyl or Actiq
  • Was the patient included in FT-016-IM, FT-017-IM or FT-018-IM

研究者

发起方
ycomed Danmark ApS

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