A Study of Sativex® for Pain Relief in Patients With Advanced Malignancy.

NCT ID: NCT00530764

Last Updated: 2013-06-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2010-01-31

Brief Summary

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The purpose of this study is to determine the effective dose range and to demonstrate a non-effective dose range of Sativex in patients with advanced cancer, who experience inadequate pain relief even though they are on optimized chronic opioid therapy.

Detailed Description

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Conditions

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Palliative Care Pain Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sativex Low Dose

Range of 1 to 4 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 10.8mg THC and 10mg CBD.

Group Type EXPERIMENTAL

Sativex Low Dose

Intervention Type DRUG

Range of 1 to 4 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 10.8mg THC and 10mg CBD.

Sativex Medium Dose

Range of 6 to 10 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 27mg THC and 25mg CBD.

Group Type EXPERIMENTAL

Sativex Medium Dose

Intervention Type DRUG

Range of 6 to 10 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 27mg THC and 25mg CBD.

Sativex High Dose

Range of 11 to 16 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 43.2mg THC and 40mg CBD.

Group Type EXPERIMENTAL

Sativex High Dose

Intervention Type DRUG

Range of 11 to 16 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 43.2mg THC and 40mg CBD.

Placebo

Range of 1-16 sprays per day of placebo spray.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sativex Low Dose

Range of 1 to 4 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 10.8mg THC and 10mg CBD.

Intervention Type DRUG

Sativex Medium Dose

Range of 6 to 10 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 27mg THC and 25mg CBD.

Intervention Type DRUG

Sativex High Dose

Range of 11 to 16 sprays per day. Each actuation of oromucosal spray delivers 2.7mg delta-9-tetrahydrocannabinol (THC) and 2.5mg cannabidiol (CBD). Thus maximum daily dose is 43.2mg THC and 40mg CBD.

Intervention Type DRUG

Other Intervention Names

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GW-1000-02 GW-1000-02 GW-1000-02

Eligibility Criteria

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Inclusion Criteria

* The patient has advanced active cancer for which there is no known curative therapy.
* The patient is able (in the investigators opinion) and willing to comply with all study requirements.
* The patient has a clinical diagnosis of cancer related pain, which is not wholly alleviated with their current opioid treatment.
* The patient is receiving a sustained release (SR) fixed dose of opioid therapy (excluding Methadone). N.B. The opiate therapy must be Step III according to the World Health Organization (WHO) analgesic ladder.
* The patient is willing to continue to take their regular daily baseline opioid regimen (SR) at the same dose, throughout the duration of study.

Exclusion Criteria

* The patient should be excluded from entering study if they have received or are due to receive during the study period; chemotherapy, hormone therapy or radiotherapy, which, in the opinion of the investigator will affect their pain.
* Any history or immediate family history of schizophrenia, other psychotic illness, severe personality disorder or other significant psychiatric disorder other than depression associated with their underlying condition.
* Any known or suspected history of a diagnosed dependence disorder, current heavy alcohol consumption, current use of an illicit drug or current non prescribed use of any prescription drug.
* The patient has poorly controlled epilepsy or recurrent seizures (i.e. at least one year since last seizure).
* The patient has experienced myocardial infarction or clinically relevant cardiac dysfunction within the last 12 months or has a cardiac disorder that, in the opinion of the investigator would put the patient at risk of a clinically relevant arrhythmia or myocardial infarction.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quintiles, Inc.

INDUSTRY

Sponsor Role collaborator

GW Pharmaceuticals Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cancer Care Center of Tuscaloosa

Tuscaloosa, Alabama, United States

Site Status

Desert Oasis Cancer Center

Casa Grande, Arizona, United States

Site Status

Pacific Coast Hematology/Oncology Medical Group, Inc.

Fountain Valley, California, United States

Site Status

Office of Dr. Ronald Yanagihara

Gilroy, California, United States

Site Status

University of California San Diego

La Jolla, California, United States

Site Status

Loma Linda University

Loma Linda, California, United States

Site Status

Florida Institute of Medical Research

Jacksonville, Florida, United States

Site Status

Clinical Pharmacology Services

Tampa, Florida, United States

Site Status

Center of Hope for Cancer and Blood Disorders

Riverdale, Georgia, United States

Site Status

Louisiana Research Associates

New Orleans, Louisiana, United States

Site Status

The Center for Clinical Research - Washington County Hospital

Hagerstown, Maryland, United States

Site Status

Capital Comprehensive Cancer Care Clinic

Jefferson City, Missouri, United States

Site Status

A & A Pain Institute of St. Louis

St Louis, Missouri, United States

Site Status

Office of Donald H. Berdeaux MD

Great Falls, Montana, United States

Site Status

Summit Medical Group

Berkeley Heights, New Jersey, United States

Site Status

Beth Israel Medical Center

New York, New York, United States

Site Status

Metropolitan Hospital Center

New York, New York, United States

Site Status

Four Seasons Hospice & Pallative Care

Flat Rock, North Carolina, United States

Site Status

Center for Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Gabrail Cancer Center

Canton, Ohio, United States

Site Status

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

Lone Star Oncology

Austin, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Jules Bordet Institute

Brussels, , Belgium

Site Status

CHU Charleroi (Hôpital civil de Charleroi)

Charleroi, , Belgium

Site Status

UZ Leuven - Algologisch Centrum Anesthesiologie

Pellenberg, , Belgium

Site Status

Vancouver Health Research Center

Victoria, British Columbia, Canada

Site Status

Jewish General Hospital

Montreal, Quebec, Canada

Site Status

Instituto Radio-oncológico Santiago (INRAD)

Santiago, , Chile

Site Status

Clínica Ciudad del Mar

Viña del Mar, , Chile

Site Status

Ambulance pro lécbu bolesti, ARO

Benešov, , Czechia

Site Status

Ambulance pro lécbu bolesti

České Budějovice, , Czechia

Site Status

Nemocnice Ceské Budejovice

České Budějovice, , Czechia

Site Status

FN Hradec Králové - Klinika onkologie a radioterapie

Hradec Králové, , Czechia

Site Status

Nemocnice Jihlava

Jihlava, , Czechia

Site Status

FN a LF UP Olomouc - Ambulance pro lécbu bolesti

Olomouc, , Czechia

Site Status

AR klinika FN Plzen -Ambulance pro lécbu bolesti

Pilsen, , Czechia

Site Status

Fakultní nemocnice Na Bulovce

Praha 8 - Liben, , Czechia

Site Status

ARO, Krajská zdravotni, K.Z. a.s, Nemocnice

Teplice, , Czechia

Site Status

Docrates Clinic

Helsinki, , Finland

Site Status

Centre hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

Praticien hospitalier

Tarbes, , France

Site Status

RWTH Aachen Universität

Aachen, , Germany

Site Status

Schmerz- und Palliativzentrum Göppingen

Göppingen, , Germany

Site Status

St.-Marien-Hospital Lunen

Lünen, , Germany

Site Status

Schmeiz - u Pallielivzendium Wiesbaden

Wiesbaden, , Germany

Site Status

Yashoda Hospital

Andhra Pradesh, , India

Site Status

Bangalore Institute of Oncology

Bangalore, , India

Site Status

CBCC- Apollo Hospital

Gandhinagar, , India

Site Status

Apollo Hospital

Hyderabaad, , India

Site Status

Indo-American Cancer Institute and Research Center

Hyderabaad, , India

Site Status

Bhagwaan Mahaveer Cancer Hospital and Research Centre

Jaipur, , India

Site Status

CHL - Apollo Hospitals

Madhya Pradesh, , India

Site Status

Jawaharlal Nehru Cancer Hospital

Madhya Pradesh, , India

Site Status

Meenakshi Mission Hospital & Research Centre

Madurai, , India

Site Status

All India Institute of Medical Sciences

New Delhi, , India

Site Status

Jehangir Clinical Development Centre Pvt. Ltd.

Pune, , India

Site Status

Deenanath Mangeshkar Hospital and Research Center

Pune, , India

Site Status

Seroc Cancer Center

Rajasthan, , India

Site Status

Regina Elana Cancer Institute

Rome, , Italy

Site Status

Dir. S.C.D.U. Psicologia Clinica ed Oncologica

Turin, , Italy

Site Status

Hospital Aranda de la Parra

León, , Mexico

Site Status

Htal Ángeles de Pedregal

Mexico City, , Mexico

Site Status

Beskidzkie Centrum Onkologii im. Jana Pawla

Bielsko-Biala, , Poland

Site Status

Poradnia Leczenia Bolu

Edyty Jakubow, , Poland

Site Status

Wojewodzki Szpital Specjalistyczny im. M. Kopernika

Gdansk, , Poland

Site Status

NZOZ Hospicjum Milosierdzia Bozego

Gliwice, , Poland

Site Status

Szpital Uniwersytecki w Krakowie

Krakow, , Poland

Site Status

Wielkopolskie Centrum Onkologii

Poznan, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej

Tychy, , Poland

Site Status

Centrum Onkologii - Instytut im. M. Sklodowskiej - Curie

Warsaw, , Poland

Site Status

Spitalul Judetean de Urgenta "Constantin Opris"

Baia Mare, Maramures, , Romania

Site Status

Spitalul Judetean de Urgenta Braila

Braila, Jud. Braila, , Romania

Site Status

Hospice "Casa Sperantei"

Brasov, , Romania

Site Status

Spitalul Universitar de Urgenta Elias

Bucharest, , Romania

Site Status

S.C. IanuliMed S.R.L. Oncologie Medicala

Bucharest, , Romania

Site Status

Policnica Orizont-Oncologie Medicala

Craiova, , Romania

Site Status

District Hospital Dr. Alexandru Simionescu

Hunedoara, , Romania

Site Status

Centrul de Oncologie Medicala

Iași, , Romania

Site Status

Spitalul Municipal Onesti

Onesti, Jud. Bacau, , Romania

Site Status

Spitalul Municipal Ploiesti

Ploieşti, , Romania

Site Status

Spitalul Clinic Judetean Sibiu Oncologie

Sibiu, , Romania

Site Status

Spitalul Judetean de Urgenta "Sf. Ioan cel Nou"

Suceava, , Romania

Site Status

Medi Clinic

Bloemfontein, , South Africa

Site Status

Pain Clinic

Cape Town, , South Africa

Site Status

Dr. Pirjol & Szpak Inc.

eManzimtoti, , South Africa

Site Status

Pretoria Urology Research Unit

Hatfield, Pretoria, , South Africa

Site Status

Trialtech Research - Embassy Drive Medical Centre

Hatfield, Pretoria, , South Africa

Site Status

Oncology/Haematology Dept Research Unit

Kimberley, , South Africa

Site Status

Eastleigh Breast Cancer Center

Lynnwood, , South Africa

Site Status

Hospital Virgen del Mar

Almería, , Spain

Site Status

Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic i Provincial

Barcelona, , Spain

Site Status

HU Puerta del Mar, Oncologia

Cadiz, , Spain

Site Status

Hospital Universitario de Bellvitge

Feixa, Llarga, Sn, , Spain

Site Status

Hospital Univ. Virgen de las Nieves

Granada, , Spain

Site Status

Hospital de la Rioja

Logroño, , Spain

Site Status

Hospital Los Montalvos

Salamanca, , Spain

Site Status

Basingstoke & North Hampshire NHS Foundation Trust

Basingstoke, , United Kingdom

Site Status

West Suffolk Hospital

Bury St Edmunds, , United Kingdom

Site Status

Fairfield General Hospital

Bury, Lancashire, , United Kingdom

Site Status

Edinburgh Cancer Research Centre (CRUK)

Edinburgh, , United Kingdom

Site Status

James Paget Hospital

Gorleston on Sea, Norfolk, , United Kingdom

Site Status

International Observatory on End of Life Care

Lancaster, , United Kingdom

Site Status

St Bartholomew's Hospital

London, , United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust

London, , United Kingdom

Site Status

Marie Curie Hospice Holme Tower

Penarth, , United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust

Sutton, , United Kingdom

Site Status

Weston Area Health Trust

Weston-super-Mare, , United Kingdom

Site Status

New Cross Hospital

Wolverhampton, , United Kingdom

Site Status

Countries

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United States Belgium Canada Chile Czechia Finland France Germany India Italy Mexico Poland Romania South Africa Spain United Kingdom

References

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Portenoy RK, Ganae-Motan ED, Allende S, Yanagihara R, Shaiova L, Weinstein S, McQuade R, Wright S, Fallon MT. Nabiximols for opioid-treated cancer patients with poorly-controlled chronic pain: a randomized, placebo-controlled, graded-dose trial. J Pain. 2012 May;13(5):438-49. doi: 10.1016/j.jpain.2012.01.003. Epub 2012 Apr 5.

Reference Type RESULT
PMID: 22483680 (View on PubMed)

Other Identifiers

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GWCA0701

Identifier Type: -

Identifier Source: org_study_id

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