Fentanyl Transdermal Patch With CHADD™ for Breakthrough Pain in Patients With Moderate to Severe Non-Malignant Pain

NCT ID: NCT00278824

Last Updated: 2012-06-05

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

PHASE2

Total Enrollment

109 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2006-08-31

Brief Summary

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A multi-center study to evaluate the efficacy of CHADD (Controlled Heat-Assisted Drug Delivery) applied over a 50 mcg/hr ZR-02-01 matrix transdermal fentanyl patch for the treatment of breakthrough pain in adult patients with moderate to severe non-malignant chronic pain. The open-label study arm will last up to 12 days. The double-blind arm will last up to 15 days. Eligible patients who complete the open-label arm will be allowed to enroll in the double-blind study arm.

Detailed Description

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ZARS Pharma is developing a Matrix Transdermal Fentanyl/CHADD (Controlled Heat-Assisted Drug Delivery) Drug Delivery System to be used for the treatment of chronic and breakthrough pain. The Matrix Transdermal Fentanyl/CHADD Drug Delivery System has been designed to provide long-term delivery of fentanyl for the treatment of chronic pain as well as intermittent increases in fentanyl concentrations for the treatment of breakthrough pain. Breakthrough pain is defined as a transitory exacerbation of pain that occurs on a background of otherwise stable pain in a patient receiving chronic opioid therapy.

Matrix Transdermal Fentanyl/CHADD Drug Delivery System has 2 components: a matrix transdermal fentanyl patch (the ZR-02-01 patch in doses of 25, 50, 75 and 100 mcg/hr) with corresponding thin film dressing (ie, overlay) and the CHADD (Controlled Heat-Assisted Drug Delivery).

The matrix transdermal fentanyl patch provides a continuous delivery of fentanyl over 72 hours, in a manner similar to Duragesic®. During a breakthrough pain episode, a CHADD unit is placed over (adhered to) the matrix transdermal fentanyl patch. The CHADD is a thin patch-like chemical heating device that generates a controlled level of heat for approximately 15-20 minutes. The application of heat delivers increased amounts of fentanyl when applied over the ZR-02-01 matrix transdermal fentanyl patch.

Conditions

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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

Study Groups

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50 mcg/hr matrix fentanyl patch

active 50 mcg/hr ZR-02-01 matrix transdermal fentanyl patch (20 cm2)

Group Type EXPERIMENTAL

Matrix Transdermal Fentanyl/CHADD Drug Delivery System

Intervention Type DRUG

Patch applied every 3 days for 15 days

Placebo Patch

placebo (20 cm2) will be indistinguishable in size, shape, and appearance to the active matrix fentanyl patch

Group Type PLACEBO_COMPARATOR

Placebo Patch

Intervention Type DRUG

Placebo patch applied every 3 days for 15 days

Interventions

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Matrix Transdermal Fentanyl/CHADD Drug Delivery System

Patch applied every 3 days for 15 days

Intervention Type DRUG

Placebo Patch

Placebo patch applied every 3 days for 15 days

Intervention Type DRUG

Other Intervention Names

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ZR-02-01 Fentanyl Transdermal Matrix Patch Placebo Matrix Patch

Eligibility Criteria

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Inclusion Criteria

* Patient is 18 through 70 years of age.
* Patient has moderate to severe non-malignant chronic pain.
* Patient is opioid-tolerant, requires treatment with chronic opioids and is currently taking a dose of 50 mcg/hr transdermal fentanyl for the treatment of chronic pain. Patient must have been taking this dose for at least 2 weeks.
* Patient must be experiencing 1 to 4 episodes of target breakthrough pain (breakthrough pain that is related to the patient's chronic pain condition) a day while taking a dose of 50 mcg/hr transdermal fentanyl.

Exclusion Criteria

* Patient has active cancer.
* Patient has a history of substance abuse or has a substance abuse disorder.
* Patient is pregnant or breastfeeding.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZARS Pharma Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lynn R Webster, MD

Role: PRINCIPAL_INVESTIGATOR

Lifetree Clinical Research

Locations

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Arizona Reserach Center

Phoenix, Arizona, United States

Site Status

Florida's Institute of Clinical Research

Jacksonville, Florida, United States

Site Status

Drug Studies America

Marietta, Georgia, United States

Site Status

Pain & Rehabilitation Clinic of Chicago

Chicago, Illinois, United States

Site Status

Integrated Clinical Trial Services, Inc.

West Des Moines, Iowa, United States

Site Status

Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Medical Advanced Pain Specialists

Minneapolis, Minnesota, United States

Site Status

Pain Management Associates

Independence, Missouri, United States

Site Status

Analgesic Development Ltd.

New York, New York, United States

Site Status

Southeast Research Institute

Charlotte, North Carolina, United States

Site Status

The Center for Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Pain Consultants of Oregon, PC

Eugene, Oregon, United States

Site Status

Allegheny Pain Management

Altoona, Pennsylvania, United States

Site Status

Lifetree Clinical Research

Salt Lake City, Utah, United States

Site Status

Advanced Pain Management

Virginia Beach, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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ZCM-201

Identifier Type: -

Identifier Source: org_study_id

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