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Sponsored by: |
Archimedes Development Ltd |
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Information provided by: | Archimedes Development Ltd |
ClinicalTrials.gov Identifier: | NCT00589823 |
Cancer patients taking regular medication for their pain often still have episodes of severe pain that 'break through' despite their background pain treatment. Fentanyl is a strong, short-acting painkiller often used to treat this 'breakthrough' pain. Nasalfent contains fentanyl in a patented drug delivery system called PecSys and is given via a simple nasal spray. This study will test the efficacy and safety of Nasalfent compated to Immediate Release Morphine Sulphate in the treatment of breakthrough cancer pain.
Condition | Intervention | Phase |
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Cancer Pain |
Drug: Fentanyl Drug: Immediate release morphine sulphate |
Phase III |
Study Type: | Interventional |
Study Design: | Supportive Care, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Crossover Assignment, Safety/Efficacy Study |
Official Title: | A Multicentre, Double-Blind, Double-Dummy, Two-Phase Crossover Study of Nasalfent (Fentanyl Citrate Nasal Spray) Compared to Immediate Release Morphine Sulphate Tablets in the Treatment of Breakthrough Cancer Pain (BTCP) in Subjects Taking Regular Opioid Therapy |
Estimated Enrollment: | 80 |
Study Start Date: | June 2007 |
Estimated Study Completion Date: | February 2009 |
Estimated Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Active Comparator
Immediate Release Morphine sulphate capsules
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Drug: Fentanyl
nasal spray, 100, 200, 400 or 800 mcg dosage according to need
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2: Experimental
Nasalfent spray
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Drug: Immediate release morphine sulphate
drug dose as required by patient
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Current treatments for breakthrough cancer pain (BTCP)work too slowly to meet the fast onset of most BTCP episodes, they continue to act longer than the episode of pain lasts and so can have unwanted side effects due to this 'over treatment' of the pain episode. In addition many cancer patients have oral problems which make taking pain relief medication by mouth uncomfortable for the patient. Nasalfent is administered via the nose as a simple spray and can be taken by patients or given by their carers. The nasal route is a common way to administer medication for example in the treatment of migraine or allergy. At any time during the study the patient may take their regular treatment for BTCP should they so wish.
This study will compare the time of onset and degree of pain relief of Nasalfent to that of Immediate Release Morphine Sulphate. The safety of the two treatment groups will also be examined.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United Kingdom | |
Prof Fallon | Recruiting |
Edinburgh, United Kingdom | |
Contact: Marie Fallon 44 131 7773518 marie.fallon@ed.ac.uk |
Principal Investigator: | Marie Fallon | Western General Hospital, Edinburgh Cancer Centre |
Responsible Party: | Archimedes Development Ltd ( Mark Watling, Group Medical Director ) |
Study ID Numbers: | CPO44/06/FCNS |
Study First Received: | December 27, 2007 |
Last Updated: | January 12, 2009 |
ClinicalTrials.gov Identifier: | NCT00589823 History of Changes |
Health Authority: | Czech Republic: Ethics Committee; Czech Republic: State Institute for Drug Control; Germany: Federal Institute for Drugs and Medical Devices; Italy: The Ministry of Health; The Netherlands: The Medicines Evaluation Board; Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products; Spain: The Ministry of Health; United Kingdom: Medicines and Healthcare Products Regulatory Agency; UK: Research Ethics Committee; India: Drugs Controller General of India |
Pain Cancer |
Anesthetics, Intravenous Morphine Fentanyl Citric Acid Adjuvants, Immunologic Anesthetics Central Nervous System Depressants |
Pain Narcotics Anesthetics, General Analgesics Peripheral Nervous System Agents Analgesics, Opioid |
Anesthetics, Intravenous Morphine Fentanyl Physiological Effects of Drugs Anesthetics Central Nervous System Depressants Narcotics Pharmacologic Actions |
Adjuvants, Anesthesia Anesthetics, General Sensory System Agents Therapeutic Uses Analgesics Peripheral Nervous System Agents Central Nervous System Agents Analgesics, Opioid |