Duragesic® (Fentanyl Transdermal System) Functionality Trial in Chronic Low Back Pain

NCT ID: NCT00237341

Last Updated: 2013-11-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE4
• Total Enrollment: 358 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2002-06-30
• Study Completion Date: 2004-01-31

Brief Summary

The purpose of this study is to assess physical functionality changes over a minimum of 9 weeks in patients with non-malignant chronic low back pain who are taking short-acting opioids (narcotic pain medications) for 4 or more weeks, and who start taking the long-acting opioid fentanyl in the form of a transdermal (skin) patch.

Detailed Description

Chronic pain (pain that lasts for more than 3 months) can limit physical functioning and negatively affect a person socially and emotionally. Chronic low back pain (that is not caused by cancer) is a very common condition that affects up to a third of people in the US at any time. The primary objective of the trial is to assess functionality changes over a minimum period of 9 weeks using the Oswestry Disability Index (ODI) - a questionnaire to measure disability - in patients with non-malignant chronic low back pain who are taking short-acting opioids chronically, and who initiate treatment with Duragesic® (transdermal fentanyl). The patch delivers fentanyl in doses of 25, 50, 75, or 100 micrograms per hour. The ODI is comprised of 10 sections; each section consists of 6 response alternatives. The 10 scales assessed by the ODI are Pain Intensity, Personal Care (washing, dressing, etc.), Lifting, Walking, Sitting, Standing, Sleeping, Sex Life, Social Life, and Traveling. The secondary objective is to assess changes in health-related quality of life (HRQoL) over the treatment period using the Total Pain Experience (TPE) subscale of the Treatment Outcomes in Pain Survey (TOPS), a questionnaire designed to measure HRQoL changes in patients with chronic pain. The TOPS contains 112 items that are scored into 16 scales. These scales include: Pain Symptoms, Lower Body Functional Limitations, Upper Body Functional Limitations, Perceived Family/Social Disability, Objective Family/Social Disability, Objective Work Disability, TPE (a combination of 5 other scales), Life Control, Passive Coping, Solicitous Responses, Work Limitations, Fear Avoidance, Patient Satisfaction with Outcomes, Health Care Satisfaction, Vitality, and Mental Health (the last two from a questionnaire known as the Short Form-36, or SF-36. Fentanyl transdermal system (skin patch) in a dosage prescribed by the clinical investigator according to the usual standard of care.

Conditions

Low Back Pain

Interventions

fentanyl

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Chronic low back pain (not related to cancer) for at least 3 months
• current use of short-acting opioid (narcotic pain medication) for at least 4 weeks
• initiating fentanyl transdermal patch.

Exclusion Criteria

• Confusion or reduced level of consciousness
• skin disease
• malignancies (cancer)
• currently hospitalized
• treated with a long-acting opioid within the last 2 months
• pregnant or breast-feeding
• abusing drugs or alcohol

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

PriCara, Unit of Ortho-McNeil, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

PriCara, Unit of Ortho-McNeil, Inc. Clinical Trial

Role: STUDY_DIRECTOR

PriCara, Unit of Ortho-McNeil, Inc.

Related Links

http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=1130&filename=CR002446_CSR.pdf

Assessing functionality changes associated with patients who were taking short acting opioids chronically and who initiated treatment with Duragesic® for the management of chronic low back pain.

Other Identifiers

CR002446

Identifier Type: -

Identifier Source: org_study_id