The Pain Pen for Breakthrough Cancer Pain

NCT ID: NCT00125801

Last Updated: 2008-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-08-31

Study Completion Date

2008-05-31

Brief Summary

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The purpose of this study is to see whether injection of hydromorphone through a subcutaneous injection device is more effective in treating breakthrough cancer pain than oral morphine.

Detailed Description

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Breakthrough pain is an exacerbation of severe pain that occurs on a background of otherwise controlled pain. Breakthrough pain is common in patients with advanced cancer. Current medications to treat breakthrough pain include oral immediate release opioid formulations and more recently oral transmucosal fentanyl citrate.

The pain pen study is a randomized controlled double blind cross-over study comparing the efficacy of oral immediate release morphine with that of subcutaneous hydromorphone, injected through a so called pain pen, on breakthrough pain in cancer patients. Preliminary experience with the pain pen suggests that it has a more rapid time of onset of pain relief than oral formulations.

Conditions

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Neoplasms Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Interventions

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Subcutaneous hydromorphone delivered by pain pen

Subcutaneous hydromorphone delivered by pain pen during breakthrough pain episodes, at max 4 daily. Dose established by opioid conversion from baseline opioids.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Stable cancer pain requiring the equivalent of 60-1000 mg oral morphine/day
* 1-4 breakthrough pain episodes/day
* Patients must be able, in the opinion of the investigator, to fully comply with trial requirements
* Patients who have given written informed consent

Exclusion Criteria

* Uncontrolled pain
* Women who are pregnant, lactating or intend to become pregnant
* Cardiopulmonary disease that would increase the risk of opioids
* Neurologic or psychiatric disease that would compromise data collection
* Recently started chemotherapy or radiotherapy in as far as it would be effective in lowering breakthrough pain
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Erasmus MC

Principal Investigators

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Joost L. Jongen, MD

Role: PRINCIPAL_INVESTIGATOR

Dept. Neurology, Erasmus MC

Locations

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Dept. Neurology, Erasmus MC

Rotterdam, , Netherlands

Site Status

Countries

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Netherlands

References

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Enting RH, Mucchiano C, Oldenmenger WH, Fritzon M, Wallen A, Goslinga-van der Gaag S, Sillevis Smitt PA, Delhaas E. The "pain pen" for breakthrough cancer pain: a promising treatment. J Pain Symptom Manage. 2005 Feb;29(2):213-7. doi: 10.1016/j.jpainsymman.2004.05.010.

Reference Type BACKGROUND
PMID: 15733812 (View on PubMed)

Related Links

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Other Identifiers

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EMC 02-115

Identifier Type: -

Identifier Source: org_study_id