Trial Outcomes & Findings for Matrifen® for Therapy of Severe Chronic Pain® (NCT NCT00699335)

NCT ID: NCT00699335

Last Updated: 2012-05-08

Results Overview

Assessment on a Visual Analogue Scale from 0=No pain to 10=Most severe pain

Recruitment status

COMPLETED

Target enrollment

5308 participants

Primary outcome timeframe

Before and after therapy with Matrifen® (4 weeks)

Results posted on

2012-05-08

Participant Flow

Participant milestones

Participant milestones
Measure
Matrifen®
All patients enrolled
Overall Study
STARTED
5308
Overall Study
COMPLETED
5080
Overall Study
NOT COMPLETED
228

Reasons for withdrawal

Reasons for withdrawal
Measure
Matrifen®
All patients enrolled
Overall Study
Combination of multiple reasons
176
Overall Study
Missing data
52

Baseline Characteristics

Matrifen® for Therapy of Severe Chronic Pain®

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Matrifen®
n=5308 Participants
All patients enrolled
Age Continuous
70.3 years
STANDARD_DEVIATION 13.2 • n=5 Participants
Gender
Female
3334 participants
n=5 Participants
Gender
Male
1971 participants
n=5 Participants
Type of pain
Severe pain when moving
3751 participants
n=5 Participants
Type of pain
Pain caused by a tumor
1359 participants
n=5 Participants
Type of pain
Other type of pain
877 participants
n=5 Participants
Type of pain
Missing data
7 participants
n=5 Participants
Underlying disease
Musculoskeletal disorders
3396 Participants
n=5 Participants
Underlying disease
Tumor
1416 Participants
n=5 Participants
Underlying disease
Neurological disorders
514 Participants
n=5 Participants
Underlying disease
Dermatological disorders
51 Participants
n=5 Participants
Underlying disease
Underlying disease NOS
210 Participants
n=5 Participants
Underlying disease
Missing data
371 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Assessment on a Visual Analogue Scale from 0=No pain to 10=Most severe pain

Outcome measures

Outcome measures
Measure
Matrifen®
n=5226 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Patient's Assessment of Pain Severity Score
Start of therapy
7.12 Units on a scale
Standard Deviation 1.52
Patient's Assessment of Pain Severity Score
End of study
3.32 Units on a scale
Standard Deviation 1.66

PRIMARY outcome

Timeframe: After 4 week therapy with Matrifen®

Population: All patients included and treated, intention to treat, missing values not imputed

Assessment on a scale: Excellent, good, satisfactory, dissatisfactory

Outcome measures

Outcome measures
Measure
Matrifen®
n=5308 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Physician's Final Assessment of the Efficacy of Therapy With Matrifen®
Excellent
2530 Participants
Physician's Final Assessment of the Efficacy of Therapy With Matrifen®
Good
2273 Participants
Physician's Final Assessment of the Efficacy of Therapy With Matrifen®
Satisfactory
365 Participants
Physician's Final Assessment of the Efficacy of Therapy With Matrifen®
Dissatisfactory
73 Participants
Physician's Final Assessment of the Efficacy of Therapy With Matrifen®
Missing data
67 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems in walking around 2. I have some problems in walking around 3. I am confined to bed

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Mobility
I have no problems in walking around
284 Participants
1294 Participants
EQ-5D (Optional): Domain Mobility
I have some problems in walking around
2779 Participants
1923 Participants
EQ-5D (Optional): Domain Mobility
I am confined to bed
372 Participants
218 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems in walking around 2. I have some problems in walking around 3. I am confined to bed

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Mobility
2.03 Units on a scale
Standard Deviation 0.44
1.69 Units on a scale
Standard Deviation 0.58

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems with self-care 2. I have some problems washing or dressing myself 3. I am unable to wash or dress myself

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Self Care
I have no problems with self-care
682 Participants
1709 Participants
EQ-5D (Optional): Domain Self Care
I have some problems washing or dressing myself
2152 Participants
1461 Participants
EQ-5D (Optional): Domain Self Care
I am unable to wash or dress myself
601 Participants
265 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems with self-care 2. I have some problems washing or dressing myself 3. I am unable to wash or dress myself

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Self Care
1.98 Units on a scale
Standard Deviation 0.61
1.58 Units on a scale
Standard Deviation 0.63

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems with performing my usual activities 2. I have some problems with performing my usual activities 3. I am unable to perform my usual activities

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Usual Activities
I have no problems with performing my usual activi
142 Participants
1070 Participants
EQ-5D (Optional): Domain Usual Activities
I have some problems with performing my usual acti
2227 Participants
1973 Participants
EQ-5D (Optional): Domain Usual Activities
I am unable to perform my usual activities
1066 Participants
392 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no problems with performing my usual activities 2. I have some problems with performing my usual activities 3. I am unable to perform my usual activities

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Usual Activities
2.27 Units on a scale
Standard Deviation 0.53
1.80 Units on a scale
Standard Deviation 0.62

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no pain or discomfort 2. I have moderate pain or discomfort 3. I have extreme pain or discomfort

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Pain / Discomfort
I have no pain or discomfort
18 Participants
749 Participants
EQ-5D (Optional): Pain / Discomfort
I have moderate pain or discomfort
1104 Participants
2503 Participants
EQ-5D (Optional): Pain / Discomfort
I have extreme pain or discomfort
2313 Participants
183 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I have no pain or discomfort 2. I have moderate pain or discomfort 3. I have extreme pain or discomfort

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Pain / Discomfort
2.67 Units on a scale
Standard Deviation 0.48
1.84 Units on a scale
Standard Deviation 0.49

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I am not anxious or depressed 2. I am moderately anxious or depressed 3. I am extremely anxious or depressed

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Anxiety / Depression
I am not anxious or depressed
688 Participants
1920 Participants
EQ-5D (Optional): Domain Anxiety / Depression
I am moderately anxious or depressed
1949 Participants
1409 Participants
EQ-5D (Optional): Domain Anxiety / Depression
I am extremely anxious or depressed
798 Participants
106 Participants

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

This outcome measure to assess patients quality of life is based on an optional standardised patient questionnaire (EQ-5D). Questions on a scale from 1-3 at initial and final visit: 1. I am not anxious or depressed 2. I am moderately anxious or depressed 3. I am extremely anxious or depressed

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
n=3435 Participants
All patients with valid values at first and last visit
EQ-5D (Optional): Domain Anxiety / Depression
2.03 Units on a scale
Standard Deviation 0.66
1.47 Units on a scale
Standard Deviation 0.56

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Index derived from the five EQ-5D-items (= mobility, self care, usual activities, pain/discomfort, anxiety/depression) resulting in a value from -1= very ill to 1=full health

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
EQ-5D (Optional): European Index Score
Initial visit
0.078 Units on a scale
Standard Deviation 0.35
EQ-5D (Optional): European Index Score
Final visit
0.584 Units on a scale
Standard Deviation 0.31

PRIMARY outcome

Timeframe: Before and after therapy with Matrifen® (4 weeks)

Population: Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Visual Analogue Scale (VAS) from 0 =worst imaginable health status, 100 =best imaginable health status

Outcome measures

Outcome measures
Measure
Matrifen®
n=3435 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
EQ-5D (Optional): Visual Analogue Scale
Initial visit
40.1 Units on a scale
Standard Deviation 22.0
EQ-5D (Optional): Visual Analogue Scale
Final visit
58.8 Units on a scale
Standard Deviation 20.4

SECONDARY outcome

Timeframe: After 4 week therapy with Matrifen®

Population: All patients included and treated, intention to treat, missing values not imputed

Assessment on a scale: Excellent, good, satisfactory, dissatisfactory

Outcome measures

Outcome measures
Measure
Matrifen®
n=5308 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Physician's Assessment of the Skin Tolerability of the Fentanyl-patches
Satisfactory
82 Participants
Physician's Assessment of the Skin Tolerability of the Fentanyl-patches
Dissatisfactory
18 Participants
Physician's Assessment of the Skin Tolerability of the Fentanyl-patches
Missing data
89 Participants
Physician's Assessment of the Skin Tolerability of the Fentanyl-patches
Excellent
3403 Participants
Physician's Assessment of the Skin Tolerability of the Fentanyl-patches
Good
1716 Participants

SECONDARY outcome

Timeframe: After 4 week therapy with Matrifen®

Population: All patients included and treated, intention to treat, missing values not imputed

Assessment on a scale: Excellent, good, satisfactory, dissatisfactory

Outcome measures

Outcome measures
Measure
Matrifen®
n=5308 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Patient's Assessment of the Acceptance of the Fentanyl-patches
Excellent
3210 Participants
Patient's Assessment of the Acceptance of the Fentanyl-patches
Good
1725 Participants
Patient's Assessment of the Acceptance of the Fentanyl-patches
Satisfactory
168 Participants
Patient's Assessment of the Acceptance of the Fentanyl-patches
Dissatisfactory
101 Participants
Patient's Assessment of the Acceptance of the Fentanyl-patches
Missing data
104 Participants

SECONDARY outcome

Timeframe: After 4 week therapy with Matrifen®

Population: All patients included and treated, intention to treat, missing values not imputed

Assessment on a scale: Excellent, good, satisfactory, dissatisfactory

Outcome measures

Outcome measures
Measure
Matrifen®
n=5308 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Physician's Assessment of the Adhesion Properties of the Fentanyl-patches
Good
1777 Participants
Physician's Assessment of the Adhesion Properties of the Fentanyl-patches
Satisfactory
162 Participants
Physician's Assessment of the Adhesion Properties of the Fentanyl-patches
Dissatisfactory
35 Participants
Physician's Assessment of the Adhesion Properties of the Fentanyl-patches
Missing data
60 Participants
Physician's Assessment of the Adhesion Properties of the Fentanyl-patches
Excellent
3274 Participants

SECONDARY outcome

Timeframe: After 4 week therapy with Matrifen®

Population: All patients included and treated, intention to treat, missing values not imputed

Assessment on a scale: Excellent, good, satisfactory, dissatisfactory

Outcome measures

Outcome measures
Measure
Matrifen®
n=5308 Participants
All patients with valid values at first and last visit
Matrifen® / Final Visit
All patients with valid values at first and last visit
Physician's Final Assessment of the Tolerability of Matrifen®
Excellent
2866 Participants
Physician's Final Assessment of the Tolerability of Matrifen®
Good
2058 Participants
Physician's Final Assessment of the Tolerability of Matrifen®
Satisfactory
161 Participants
Physician's Final Assessment of the Tolerability of Matrifen®
Dissatisfactory
75 Participants
Physician's Final Assessment of the Tolerability of Matrifen®
Missing data
148 Participants

Adverse Events

Matrifen®

Serious events: 80 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Matrifen®
n=5308 participants at risk
Patients included and treated with at least one application of Matrifen®
Cardiac disorders
Cardiac failure
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Cardiac disorders
Cardiovascular disorder
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Nervous system disorders
Dizziness
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Gastrointestinal disorders
Nausea
0.04%
2/5308 • Number of events 2 • First until last visit (planned: 4 weeks)
Gastrointestinal disorders
Constipation
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
General disorders
Death
0.92%
49/5308 • Number of events 49 • First until last visit (planned: 4 weeks)
General disorders
General physical health deterioration
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Hepatobiliary disorders
Metastases to liver
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Infections and infestations
Sepsis
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Injury, poisoning and procedural complications
Pelvic fracture
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Musculoskeletal and connective tissue disorders
Metastases to bone
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastasis
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Psychiatric disorders
Dementia Alzheimer's type
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Surgical and medical procedures
Hospitalisation
0.26%
14/5308 • Number of events 14 • First until last visit (planned: 4 weeks)
Surgical and medical procedures
Surgery
0.11%
6/5308 • Number of events 6 • First until last visit (planned: 4 weeks)
Surgical and medical procedures
Amputation
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)
Surgical and medical procedures
Prosthesis implantation
0.02%
1/5308 • Number of events 1 • First until last visit (planned: 4 weeks)

Other adverse events

Adverse event data not reported

Additional Information

Medical Responsible

Nycomed Deutschland GmbH

Phone: +49 7531 3666 0

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place